Provider Demographics
NPI:1134743701
Name:FOSTER, CHERIE ANN (NP)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:ANN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 BEACHWOOD BLUFF WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-7805
Mailing Address - Country:US
Mailing Address - Phone:619-517-1992
Mailing Address - Fax:
Practice Address - Street 1:3007 BEACHWOOD BLUFF WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-7805
Practice Address - Country:US
Practice Address - Phone:619-517-1992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95024595363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily