Selene R Forrestall, CRNA
Nurse Anesthetist, Certified Registered in Florence, South Carolina
1013078013- Practice location
- 805 Pamplico Hwy, Florence, SC 29505-6047
- Phone
- 843-792-1414
- Fax
- —
- Last updated
- November 5, 2026
Selene Rae Forrestall is a Nurse Anesthetist, Certified Registered based in Florence, SC. Selene Rae Forrestall practices in Florence, SC and has the professional credentials of CRNA. The NPI Number for Selene Rae Forrestall is 1013078013 and holds a License No. 22437 (SC). The current practice location address for Selene Rae Forrestall is 805 Pamplico Hwy, Florence, SC 29505-6047 and can be reached out via phone at 843-792-1414.
Provider Profile Details
- NPI Number
- 1013078013
- Provider Name
- Selene Rae Forrestall
- Credential
- CRNA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 805 Pamplico Hwy, Florence, SC 29505-6047
- Phone Number
- 843-792-1414
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- No
- Other Names
- Selene Rae Forrestall (Former Name)
- Provider Enumeration Date
- December 13, 2006
- Last Update Date
- November 5, 2026
- Certification Date
- November 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 805 Pamplico Hwy
Florence, SC 29505-6047 - City
- Florence
- State
- South Carolina
- Zip
- 29505-6047
- Phone Number
- 843-792-1414
Provider Business Mailing Address Details
- Address
- Po Box 23321
New York, NY 10087-3321 - City
- New York
- State
- NY
- Zip
- 10087-3321
- Phone Number
- 843-792-6200
License Information
- License Number (1)
- 22437
- License State (1)
- SC
- Taxonomy (1)
- Nurse Anesthetist, Certified Registered · 367500000X · Primary
- License Number (2)
- 254742
- License State (2)
- MA
- Taxonomy (2)
- Nurse Anesthetist, Certified Registered · 367500000X
- License Number (3)
- 6566
- License State (3)
- NC
- Taxonomy (3)
- Nurse Anesthetist, Certified Registered · 367500000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Temujin T Chavez, MDInternal Medicine, Infectious Disease · NPI 1558323543
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Frequently Asked Questions
What is the NPI number of Selene R Forrestall, CRNA?
The NPI number of Selene R Forrestall, CRNA is 1013078013. It was assigned on December 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Selene R Forrestall, CRNA?
Selene R Forrestall, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in SC under license number 22437.
Where does Selene R Forrestall, CRNA practice?
The practice location is 805 Pamplico Hwy, Florence, SC 29505-6047. The office can be reached at 843-792-1414 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013078013 directly on the NPPES registry website.