Marlene Kay White Forrest, Emergency Medical Te
Emergency Medical Technician, Basic in Niobrara, NE. Individual provider (NPI-1).
NPI number1811221815
StatusActive
Last updated in NPPESSep 23, 2009
Details
- NPI
- 1811221815
- Entity type
- Individual (NPI-1)
- Name
- Marlene Kay White Forrest
- Credential
- Emergency Medical Te
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2009
- Last updated
- Sep 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | #7795 | NE | Yes |
Practice location
110 South Visiting EagleSantee Health Center
Niobrara, NE 60760
Phone 402-857-2300 · Fax 402-857-2315
Mailing address
110 South Visiting EagleSantee Health Center
Niobrara, NE 60760
Phone 402-857-2300 · Fax 402-857-2315
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