Provider Demographics
NPI:1245804194
Name:FOSTER, EMERALD SAGE (PA-C, MPH)
Entity Type:Individual
Prefix:MS
First Name:EMERALD
Middle Name:SAGE
Last Name:FOSTER
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Gender:F
Credentials:PA-C, MPH
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Mailing Address - Street 1:1590 CRATER LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-0915
Mailing Address - Country:US
Mailing Address - Phone:559-408-8434
Mailing Address - Fax:
Practice Address - Street 1:400 W MINERAL KING AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6237
Practice Address - Country:US
Practice Address - Phone:559-624-2215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-15
Last Update Date:2024-04-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant