Provider Demographics
NPI:1184037558
Name:FOSTER, MELINDA JEAN ELTERICH (APRN, AGACNP-BC)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:JEAN ELTERICH
Last Name:FOSTER
Suffix:
Gender:F
Credentials:APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 WRIGHT ST
Mailing Address - Street 2:THHVH
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4708
Mailing Address - Country:US
Mailing Address - Phone:817-960-3614
Mailing Address - Fax:
Practice Address - Street 1:811 WRIGHT ST
Practice Address - Street 2:THHVH
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4708
Practice Address - Country:US
Practice Address - Phone:817-960-3525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125354363LA2100X, 363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine