Provider Demographics
NPI:1184860066
Name:FORREST, DANA L (RNFA)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:FORREST
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6585 S YALE AVE STE 1020
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8323
Mailing Address - Country:US
Mailing Address - Phone:918-481-2900
Mailing Address - Fax:918-481-2985
Practice Address - Street 1:6585 S YALE AVE STE 1020
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8323
Practice Address - Country:US
Practice Address - Phone:918-481-2900
Practice Address - Fax:918-481-2985
Is Sole Proprietor?:No
Enumeration Date:2008-12-26
Last Update Date:2008-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0085027163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant