Provider Demographics
NPI:1245548718
Name:FOSTER, ASHLEY L (ACNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:L
Last Name:FOSTER
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 COUNTRY WAY PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3179
Mailing Address - Country:US
Mailing Address - Phone:804-467-4098
Mailing Address - Fax:
Practice Address - Street 1:2369 STAPLES MILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-2909
Practice Address - Country:US
Practice Address - Phone:804-285-8206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-18
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001199995163W00000X
VA0024169029363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse