Individual
ELIZABETH ANN FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1410 S FERRY RD, ANOKA, MN 55303-2164
(763) 427-7155
Mailing address
1410 S FERRY RD, ANOKA, MN 55303-2164
(165) 132-4790
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12255
MN
Other
Enumeration date
11/12/2024
Last updated
11/13/2024
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