Provider Demographics
NPI:1184001463
Name:FOSTER, DEEDEE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:DEEDEE
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:DEEDEE
Other - Middle Name:
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:8706 LYONIA DR.
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829
Mailing Address - Country:US
Mailing Address - Phone:717-888-0298
Mailing Address - Fax:
Practice Address - Street 1:141 WEBB DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837
Practice Address - Country:US
Practice Address - Phone:863-422-0020
Practice Address - Fax:863-422-0021
Is Sole Proprietor?:No
Enumeration Date:2015-05-06
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0991751-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily