Provider Demographics
NPI:1255930129
Name:FOSTER, PATRICK A (FNP)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:A
Last Name:FOSTER
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BIDDLE AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3966
Mailing Address - Country:US
Mailing Address - Phone:610-301-9516
Mailing Address - Fax:
Practice Address - Street 1:2600 GLASGOW AVE STE 210
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5704
Practice Address - Country:US
Practice Address - Phone:302-832-8894
Practice Address - Fax:302-832-8897
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01085400363LF0000X
DELG-0012184363LF0000X
PASP022515363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily