Provider Demographics
NPI:1396550893
Name:FORREST, OLGA M (RN, BS)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:M
Last Name:FORREST
Suffix:
Gender:F
Credentials:RN, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 FAIRHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-1459
Mailing Address - Country:US
Mailing Address - Phone:978-618-6133
Mailing Address - Fax:
Practice Address - Street 1:109 FAIRHAVEN RD
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1459
Practice Address - Country:US
Practice Address - Phone:978-618-6133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN251425163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse