Provider Demographics
NPI:1043674567
Name:FORBES, ERICA (NP)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:
Last Name:FORBES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:ROSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:32255 NORTHWESTERN HWY STE 214
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1573
Mailing Address - Country:US
Mailing Address - Phone:1248-855-5620
Mailing Address - Fax:
Practice Address - Street 1:32255 NORTHWESTERN HWY STE 214
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1573
Practice Address - Country:US
Practice Address - Phone:1248-855-5620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704277086363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily