Provider Demographics
NPI:1497245385
Name:FORSTER, GLADYS (RN)
Entity Type:Individual
Prefix:MS
First Name:GLADYS
Middle Name:
Last Name:FORSTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ROUTE 46 W BLDG F
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1673
Mailing Address - Country:US
Mailing Address - Phone:862-276-0338
Mailing Address - Fax:
Practice Address - Street 1:115 ROUTE 46 W BLDG F
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1673
Practice Address - Country:US
Practice Address - Phone:862-276-0338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR1758960163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management