Provider Demographics
NPI:1538461868
Name:FOREST, PATRICIA LEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LEE
Last Name:FOREST
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 1:92 CROSSROADS LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-3439
Mailing Address - Country:US
Mailing Address - Phone:585-227-5286
Mailing Address - Fax:
Practice Address - Street 1:1010 ENGLISH RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-2028
Practice Address - Country:US
Practice Address - Phone:585-966-3605
Practice Address - Fax:585-581-8103
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226992-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool