Individual
MS. MELODY O. FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1430 WILLOW LANE, WEST PARK C61-2, NORTH WILKESBORO, NC 28659-3551
(336) 667-5151
(828) 262-5687
Mailing address
895 STATE FARM ROAD, SUITE 508, BOONE, NC 28607-3515
(828) 264-9007
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
TRICARE PROVIDER ID #
NC
Enumeration date
12/05/2006
Last updated
07/08/2007
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