Provider Demographics
NPI:1417668393
Name:FOUST, CARIE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CARIE
Middle Name:
Last Name:FOUST
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 STATE ROUTE 39 NW
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-9495
Mailing Address - Country:US
Mailing Address - Phone:330-447-6557
Mailing Address - Fax:
Practice Address - Street 1:3025 STATE ROUTE 39 NW
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-9495
Practice Address - Country:US
Practice Address - Phone:330-447-6557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.162543.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse