Individual
MARILYN WADE-FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1291 S BOSTON RD, DANVILLE, VA 24540-5032
(434) 228-7923
Mailing address
2509 RICHARDSON DR STE A, REIDSVILLE, NC 27320-5926
(336) 347-7998
(336) 347-7998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024170261
VA
363L00000X
Nurse Practitioner
Primary
5005456
NC
Other
Enumeration date
11/28/2011
Last updated
02/24/2022
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