Provider Demographics
NPI:1053328807
Name:FOSTER, DAVID ALLEN (APRN)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ALLEN
Last Name:FOSTER
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1101 SOUTH 70TH STREET
Mailing Address - Street 2:STE 101
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4293
Mailing Address - Country:US
Mailing Address - Phone:402-488-1400
Mailing Address - Fax:402-488-3879
Practice Address - Street 1:1101 SOUTH 70TH STREET
Practice Address - Street 2:STE 101
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4293
Practice Address - Country:US
Practice Address - Phone:402-488-1400
Practice Address - Fax:402-488-3879
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE110458363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE500028746OtherRAILROAD MEDICARE
NEP41343Medicare UPIN
NE500028746OtherRAILROAD MEDICARE