Provider Demographics
NPI:1922241330
Name:FOSTER-FRITSCH, THERESA ANN (RN)
Entity Type:Individual
Prefix:MS
First Name:THERESA
Middle Name:ANN
Last Name:FOSTER-FRITSCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:THERRI
Other - Middle Name:
Other - Last Name:FOSTER-FRITSCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:7249 CLOVERNOOK AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5520
Mailing Address - Country:US
Mailing Address - Phone:513-582-2249
Mailing Address - Fax:
Practice Address - Street 1:7249 CLOVERNOOK AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5520
Practice Address - Country:US
Practice Address - Phone:513-582-2249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH287595163W00000X
GARN191113163WH0200X
175L00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No175L00000XOther Service ProvidersHomeopath
No175F00000XOther Service ProvidersNaturopath