Provider Demographics
NPI:1558313577
Name:FORSTER, NELL W (RN, FNP)
Entity Type:Individual
Prefix:
First Name:NELL
Middle Name:W
Last Name:FORSTER
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8230 WALNUT HILL LN STE 204
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4408
Mailing Address - Country:US
Mailing Address - Phone:214-345-6000
Mailing Address - Fax:214-345-6026
Practice Address - Street 1:8230 WALNUT HILL LN STE 204
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4408
Practice Address - Country:US
Practice Address - Phone:214-345-6000
Practice Address - Fax:214-345-6026
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX656873363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168762603Medicaid
MF1163865OtherDEA REGISTRATION NUMBER
Q19998Medicare UPIN
TX168762603Medicaid
TXTXB132754Medicare PIN