Individual
SHARRON RENE FOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 521-9100
Mailing address
3904 SAINT PHILIPPE DR, LAKE CHARLES, LA 70605-2556
(337) 515-6142
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
068100-03065
LA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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