NPI 1013078013

Selene R Forrestall, CRNA

Practitioner Certified Registered Nurse Anesthetist Florence, SC

Practice location

Address: 805 Pamplico Hwy, Florence, SC 29505-6047
Phone: (843) 792-1414
Mailing address: PO Box 23321, New York, NY 10087-3321

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 22437 (SC)

Other Nurse Anesthetist, Certified Registered providers in South Carolina →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 254742 (MA)

Registry record

NPI: 1013078013
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2006
Record last updated: 31 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.