Provider Demographics
NPI:1407179559
Name:FORENSIC NURSING SPECIALTIES, INC
Entity Type:Organization
Organization Name:FORENSIC NURSING SPECIALTIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:260-423-2222
Mailing Address - Street 1:2270 LAKE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805-5359
Mailing Address - Country:US
Mailing Address - Phone:260-432-2222
Mailing Address - Fax:
Practice Address - Street 1:2270 LAKE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-5359
Practice Address - Country:US
Practice Address - Phone:260-432-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty