Elizabeth Forman, APN
Nurse Practitioner, Family in Deptford, New Jersey
1154077444- Practice location
- 849 Cooper St, Deptford, NJ 08096-2571
- Phone
- 856-848-6346
- Fax
- —
- Last updated
- February 24, 2022
Elizabeth Forman is a Nurse Practitioner, Family based in Deptford, NJ. Elizabeth Forman practices in Deptford, NJ and has the professional credentials of APN. The NPI Number for Elizabeth Forman is 1154077444 and holds a License No. 26NJ01253500 (NJ). The current practice location address for Elizabeth Forman is 849 Cooper St, Deptford, NJ 08096-2571 and can be reached out via phone at 856-848-6346.
Provider Profile Details
- NPI Number
- 1154077444
- Provider Name
- Elizabeth Forman
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 849 Cooper St, Deptford, NJ 08096-2571
- Phone Number
- 856-848-6346
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 24, 2022
- Last Update Date
- February 24, 2022
- Certification Date
- February 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 849 Cooper St
Deptford, NJ 08096-2571 - City
- Deptford
- State
- New Jersey
- Zip
- 08096-2571
- Phone Number
- 856-848-6346
Provider Business Mailing Address Details
- Address
- 401 Route 73 N Ste 320
Marlton, NJ 08053-3426 - City
- Marlton
- State
- NJ
- Zip
- 08053-3426
License Information
- License Number
- 26NJ01253500
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Deptford, NJ
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- Kristen O'Donnell, APN, FNPNurse Practitioner, Family · NPI 1861352577
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Frequently Asked Questions
What is the NPI number of Elizabeth Forman, APN?
The NPI number of Elizabeth Forman, APN is 1154077444. It was assigned on February 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Elizabeth Forman, APN?
Elizabeth Forman, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01253500.
Where does Elizabeth Forman, APN practice?
The practice location is 849 Cooper St, Deptford, NJ 08096-2571. The office can be reached at 856-848-6346 (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 1154077444 directly on the NPPES registry website.