Provider Demographics
NPI:1952807190
Name:FOSTER, CYNTHIA CAROLINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:CAROLINE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PAR CT
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-1628
Mailing Address - Country:US
Mailing Address - Phone:903-241-4281
Mailing Address - Fax:
Practice Address - Street 1:9 PAR CT
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-1628
Practice Address - Country:US
Practice Address - Phone:903-241-4281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX936871163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse