Individual
KAITLYN BLANCHE MARIE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
8110 HEALTHCARE LOOP, CHARLOTTE, NC 28215-7069
(704) 316-2312
(704) 316-2316
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017217
NC
363LP0200X
Pediatric Nurse Practitioner
0024178012
VA
Other
Enumeration date
01/24/2019
Last updated
01/10/2023
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