Provider Demographics
NPI:1003030297
Name:FOSTER, WENDY RENEE (ARNP)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:RENEE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 PRESTON PARK BLVD
Mailing Address - Street 2:SUITE 1450
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75028
Mailing Address - Country:US
Mailing Address - Phone:469-800-4540
Mailing Address - Fax:469-800-4541
Practice Address - Street 1:1820 PRESTON PARK BLVD
Practice Address - Street 2:SUITE 1450
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3656
Practice Address - Country:US
Practice Address - Phone:469-800-4540
Practice Address - Fax:469-800-4541
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX795613363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451653YKTPMedicare PIN
FLDJ723ZMedicare PIN
FLDJ723WMedicare PIN