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Imelda N Forsberg, NURSEPRACTITIONER
Adult Health Nurse Practitioner in Kenosha, Wisconsin
NPI 1306027891

Imelda N Forsberg is an Adult Health Nurse Practitioner based in Bristol, WI and is specialized in Adult Health. Imelda N Forsberg practices in Kenosha, WI and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Imelda N Forsberg is 1306027891 and holds a License No. 209.006867 (Wisconsin).

The current practice location address for Imelda N Forsberg is 6430 Greenbay Rd, Kenosha, WI and can be reached out via phone at 262-925-0535 and via fax at 262-925-0538.

Location: 6430 Greenbay Rd, Kenosha, WI, 53104
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Provider Profile Details
NPI Number
1306027891
Provider Name
Imelda N Forsberg
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
6430 Greenbay Rd, Kenosha, WI, 53104
Phone Number
262-925-0535
Fax Number
262-925-0538
Provider Enumeration Date
11/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4854-33 01 WI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
6430 Greenbay Rd
City
State
Zip
53142-2948
Phone Number
262-925-0535
Fax Number
262-925-0538
person
Provider Business Mailing Address Details
Address
6430 Greenbay Rd
City
State
Zip
53142-2948
Phone Number
262-925-0535
Fax Number
262-925-0538
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209.006867 (Illinois)
Definition
Definition to come...
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