Provider Demographics
NPI:1497024913
Name:FOSTER, SARAH (LM, CPM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5932 E 43RD ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6506
Mailing Address - Country:US
Mailing Address - Phone:580-716-6375
Mailing Address - Fax:
Practice Address - Street 1:5932 E 43RD ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6506
Practice Address - Country:US
Practice Address - Phone:580-716-6375
Practice Address - Fax:314-375-8570
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2015-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99239176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife