Provider Demographics
NPI:1669260238
Name:FOSTER, TERESA BELLE
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:BELLE
Last Name:FOSTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1197 MUDDLETY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-7527
Mailing Address - Country:US
Mailing Address - Phone:304-619-1491
Mailing Address - Fax:
Practice Address - Street 1:1197 MUDDLETY VALLEY RD
Practice Address - Street 2:
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651-7527
Practice Address - Country:US
Practice Address - Phone:304-619-1491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant