Provider Demographics
NPI:1477626315
Name:FORBES, BETH ANN (MSN, RNFA, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANN
Last Name:FORBES
Suffix:
Gender:F
Credentials:MSN, RNFA, FNP-BC
Other - Prefix:MRS
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:PYSZCZYNSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4743 RISING GLEN DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3015
Mailing Address - Country:US
Mailing Address - Phone:760-224-5136
Mailing Address - Fax:760-305-7244
Practice Address - Street 1:4743 RISING GLEN DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056
Practice Address - Country:US
Practice Address - Phone:760-224-5136
Practice Address - Fax:760-305-7244
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA350255163WR0006X
CA19558363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant