Provider Demographics
NPI:1679761571
Name:FOSTER, CHERYL ANN (CRNP)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 US HIGHWAY 84 W
Mailing Address - Street 2:
Mailing Address - City:OPP
Mailing Address - State:AL
Mailing Address - Zip Code:36467-3520
Mailing Address - Country:US
Mailing Address - Phone:334-493-4357
Mailing Address - Fax:334-222-3825
Practice Address - Street 1:1800 US HIGHWAY 84 W
Practice Address - Street 2:
Practice Address - City:OPP
Practice Address - State:AL
Practice Address - Zip Code:36467-3520
Practice Address - Country:US
Practice Address - Phone:334-493-4357
Practice Address - Fax:334-222-3825
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-059343363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology