Provider Demographics
NPI:1417947433
Name:FOSTER-SMITH, ALICE RUTH (FNP/PNP)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:RUTH
Last Name:FOSTER-SMITH
Suffix:
Gender:F
Credentials:FNP/PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4757 E BYRD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93725-1707
Mailing Address - Country:US
Mailing Address - Phone:559-233-5910
Mailing Address - Fax:559-233-0356
Practice Address - Street 1:2118 MARGUERITE ST
Practice Address - Street 2:
Practice Address - City:DOS PALOS
Practice Address - State:CA
Practice Address - Zip Code:93620-2339
Practice Address - Country:US
Practice Address - Phone:209-392-6121
Practice Address - Fax:559-392-8872
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA203044363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics