Individual
TERRY ANN FORSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143-1079
(317) 497-6371
(317) 497-6334
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 497-6330
(317) 497-6334
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28116399A
IN
363LP2300X
Primary Care Nurse Practitioner
28116399A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01291553
RAILROAD MEDICARE
IN
Enumeration date
10/04/2007
Last updated
11/27/2023
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