Individual
MRS. ELAINE VENCILE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, BSN, MSN
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1-073243
AL
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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