Provider Demographics
NPI:1932799830
Name:FOSTER, NATEL (LPN)
Entity Type:Individual
Prefix:
First Name:NATEL
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4373B DOWNTOWNER LOOP S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5412
Mailing Address - Country:US
Mailing Address - Phone:251-725-6917
Mailing Address - Fax:
Practice Address - Street 1:4373B DOWNTOWNER LOOP S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5412
Practice Address - Country:US
Practice Address - Phone:251-725-6917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2-053426164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000000OtherDO NOT HAVE SUCH NUMBER