Provider Demographics
NPI:1356685655
Name:FORRESTER, CINDY KATE (NP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:KATE
Last Name:FORRESTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 ABERDEEN TER
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1818
Mailing Address - Country:US
Mailing Address - Phone:336-681-8858
Mailing Address - Fax:336-996-2229
Practice Address - Street 1:413 ABERDEEN TER
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1818
Practice Address - Country:US
Practice Address - Phone:336-992-5900
Practice Address - Fax:336-996-2229
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005399363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care