Individual
ERRICKA DEVUN FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8201 GOLF COURSE RD NW STE A3, ALBUQUERQUE, NM 87120-5803
(505) 800-7070
(480) 776-0025
Mailing address
8201 GOLF COURSE RD NW STE A3, ALBUQUERQUE, NM 87120-5803
(505) 800-7070
(480) 776-0025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2023-0272
NM
363AM0700X
Medical Physician Assistant
PA200527
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03220010
—
NM
01
—
PA200527
LOUISIANA STATE BOARD LIC.
LA
Enumeration date
03/09/2012
Last updated
07/30/2025
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