Individual
MRS. TARA TATE FOERSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(972) 437-5099
Mailing address
41362 RASPBERRY DRIVE, LEESBURG, VA 20176
(972) 822-0809
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
1252995
VA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
665353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LN0000X
—
VA
Enumeration date
04/06/2006
Last updated
09/30/2016
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