Individual
MELISSA A FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4496
(307) 877-9769
Mailing address
190 ARROWHEAD DR, EVANSTON, WY 82930-9266
(307) 789-3636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17739.156
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112230400
—
WY
01
—
304030
BLUE CROSS/BLUE SHIELD
WY
Enumeration date
09/28/2006
Last updated
09/21/2015
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