Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phedra L Forist, LPN

Individual provider Licensed Practical Nurse · NPI 1871102640

Phedra L Forist, LPN is a Licensed Practical Nurse in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

3075 Orchard Vista Dr SE
Grand Rapids, MI 49546-7069
Phone: (616) 262-2074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703094449 (MI)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 4703094449 (MI)

Record details

NPI number1871102640
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedJuly 28, 2020
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

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