Provider Demographics
NPI:1962774026
Name:FOSTER, CHERYL DENICE (RN, FNP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:DENICE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:GUNN
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, FNP
Mailing Address - Street 1:2700 E 29TH ST STE 325
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2588
Mailing Address - Country:US
Mailing Address - Phone:979-704-6509
Mailing Address - Fax:979-821-7372
Practice Address - Street 1:2700 E 29TH ST STE 325
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2588
Practice Address - Country:US
Practice Address - Phone:979-704-6509
Practice Address - Fax:979-821-7372
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP121313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily