Individual
MS. RITA FOSTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE LPN
Contact information
Practice address
122 EAGLE LAKE AVE, MUKWONAGO, WI 53149
(262) 363-5554
Mailing address
4653 S WOODLAND DR, GREENFIELD, WI 53220-3845
(414) 281-1851
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12555031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39828100
—
WI
Enumeration date
05/09/2006
Last updated
07/09/2007
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