Provider Demographics
NPI:1417062985
Name:FOSTER, CHERYL (DNP)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 MILLS AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-5602
Mailing Address - Country:US
Mailing Address - Phone:864-242-6565
Mailing Address - Fax:864-242-3175
Practice Address - Street 1:527 MILLS AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5602
Practice Address - Country:US
Practice Address - Phone:864-242-6565
Practice Address - Fax:864-242-3175
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3569363LP0808X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health