Provider Demographics
NPI:1316038540
Name:FOSTER, TERESA KATHLEENE (APRN-BC, FNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:KATHLEENE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:APRN-BC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1733 CURIE DR
Mailing Address - Street 2:# 103
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2910
Mailing Address - Country:US
Mailing Address - Phone:915-532-2985
Mailing Address - Fax:915-542-4927
Practice Address - Street 1:1733 CURIE DR
Practice Address - Street 2:# 103
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2910
Practice Address - Country:US
Practice Address - Phone:915-532-2985
Practice Address - Fax:915-542-4927
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX500232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00364Medicare ID - Type Unspecified
TXP41886Medicare UPIN