Provider Demographics
NPI:1700067287
Name:FORREST, ELEANOR SCOTT (RN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:SCOTT
Last Name:FORREST
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 THE CITY DR S
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3303
Mailing Address - Country:US
Mailing Address - Phone:714-935-7144
Mailing Address - Fax:714-935-7332
Practice Address - Street 1:401 THE CITY DR S
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3303
Practice Address - Country:US
Practice Address - Phone:714-935-7144
Practice Address - Fax:714-935-7332
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA420220163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health