Provider Demographics
NPI:1932492600
Name:FOUST, KATIA LIN (ARNP)
Entity Type:Individual
Prefix:
First Name:KATIA
Middle Name:LIN
Last Name:FOUST
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 S POWERLINE RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-8186
Mailing Address - Country:US
Mailing Address - Phone:954-465-9556
Mailing Address - Fax:954-302-4985
Practice Address - Street 1:1500 S POWERLINE RD
Practice Address - Street 2:SUITE D
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-8186
Practice Address - Country:US
Practice Address - Phone:954-465-9556
Practice Address - Fax:954-302-4985
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-27
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 9335556363LF0000X
IA114645363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily