Individual
MR. RUSSELL W FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, ARNP, NNP-BC
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(352) 394-4071
(352) 536-8992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9254605
FL
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
RT6884
FL
363L00000X
Nurse Practitioner
APRN9254605
FL
363LN0000X
Neonatal Nurse Practitioner
281469
AZ
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP9254605
FL
363LP0200X
Pediatric Nurse Practitioner
APRN9254605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002513200
—
FL
Enumeration date
01/06/2010
Last updated
08/20/2025
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