Provider Demographics
NPI:1417086844
Name:FOSTER, ROCHELLE LYNNETTE (NP)
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:LYNNETTE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 TURK ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3703
Mailing Address - Country:US
Mailing Address - Phone:415-885-2274
Mailing Address - Fax:415-885-2234
Practice Address - Street 1:333 TURK ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3703
Practice Address - Country:US
Practice Address - Phone:415-885-2274
Practice Address - Fax:415-885-2234
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17758363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACH030ZMedicare PIN