Provider Demographics
NPI:1730536855
Name:FORSTER, AIMEE (AC-PNP, RN,)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:FORSTER
Suffix:
Gender:F
Credentials:AC-PNP, RN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12567 23RD ST E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-6907
Mailing Address - Country:US
Mailing Address - Phone:614-578-2760
Mailing Address - Fax:
Practice Address - Street 1:12567 23RD ST E
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-6907
Practice Address - Country:US
Practice Address - Phone:614-578-2760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA237564363LP0222X
OHCOA.17974-NP363LP0222X
FLARNP9430091363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care