Individual
MS. IRENE LYNETTE FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 639-6025
(928) 634-6504
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2775872
FL
363L00000X
Nurse Practitioner
Primary
AP4370
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308876600
—
FL
Enumeration date
12/11/2007
Last updated
09/08/2020
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