Provider Demographics
NPI:1699847764
Name:FOSTER, AMY (ARNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 S WHEELING AVE STE 510
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5649
Mailing Address - Country:US
Mailing Address - Phone:918-747-5200
Mailing Address - Fax:918-858-0290
Practice Address - Street 1:2000 S WHEELING AVE STE 510
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5642
Practice Address - Country:US
Practice Address - Phone:918-747-5200
Practice Address - Fax:918-858-0290
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKROO56214163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology