Provider Demographics
NPI:1982318093
Name:FOSTER, ANTOINETTE LEVETTE (FNP-BC, APRN)
Entity Type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:LEVETTE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:FNP-BC, APRN
Other - Prefix:
Other - First Name:ANTOINETTE
Other - Middle Name:LEVETTE
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:3100 RAY FERRERO JR BLVD
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-1013
Mailing Address - Country:US
Mailing Address - Phone:305-339-1756
Mailing Address - Fax:646-974-9264
Practice Address - Street 1:3100 RAY FERRERO JR BLVD
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-1013
Practice Address - Country:US
Practice Address - Phone:305-339-1756
Practice Address - Fax:646-974-9264
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11023420363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily