Individual
DEBORAH FORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
410 CARRIAGE DR, BECKLEY, WV 25801-2806
(304) 255-1541
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8324
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
38640
WV
176B00000X
Midwife
Primary
99
WV
Other
Enumeration date
05/08/2008
Last updated
05/09/2008
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