Kristen Scott Forstrom, APNP, NP-C
Nurse Practitioner, Family in Iron Mountain, MI. Individual provider (NPI-1).
NPI number1164095139
StatusActive
Last updated in NPPESOct 19, 2021
Details
- NPI
- 1164095139
- Entity type
- Individual (NPI-1)
- Name
- Kristen Scott Forstrom
- Credential
- APNP, NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- Oct 19, 2021
- Last updated
- Oct 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704359564 | MI | Yes |
| 363L00000X | Nurse Practitioner | 11094-33 | WI | |
| 363L00000X | Nurse Practitioner | 4704359564 | MI |
Other names
- Kristen S Weichbrodt (Former Name)
Practice location
1711 S Stephenson Ave Ste 215Iron Mountain, MI 49801-3649
Phone 906-828-2576
Mailing address
Po Box 22487Green Bay, WI 54305-2487
Phone 920-445-7222 · Fax 920-445-7289
Other practice locations
744 S Webster Ave Fl 2
Green Bay, WI 54301-3505
Green Bay, WI 54301-3505
Phone 920-433-3640
610 S Lincoln Rd
Escanaba, MI 49829-1215
Escanaba, MI 49829-1215
Phone 906-786-6488 · Fax 906-786-6409
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