Provider Demographics
NPI:1942015698
Name:FORSYTHE, EARLENE M (APRN, APH)
Entity type:Individual
Prefix:MRS
First Name:EARLENE
Middle Name:M
Last Name:FORSYTHE
Suffix:
Gender:F
Credentials:APRN, APH
Other - Prefix:MS
Other - First Name:EARLENE
Other - Middle Name:M
Other - Last Name:MARION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRD, APH
Mailing Address - Street 1:521 HAMMILL LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-1004
Mailing Address - Country:US
Mailing Address - Phone:775-827-0707
Mailing Address - Fax:775-827-1006
Practice Address - Street 1:521 HAMMILL LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1004
Practice Address - Country:US
Practice Address - Phone:775-827-0707
Practice Address - Fax:775-827-1006
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN00426363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner