Provider Demographics
NPI:1891484226
Name:FOSTER, TA'BRE JAVON
Entity Type:Individual
Prefix:
First Name:TA'BRE
Middle Name:JAVON
Last Name:FOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 COLONIAL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-2308
Mailing Address - Country:US
Mailing Address - Phone:330-601-9491
Mailing Address - Fax:
Practice Address - Street 1:131 COLONIAL HILLS DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2308
Practice Address - Country:US
Practice Address - Phone:330-601-9491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHN20324985376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide