Individual
MICHAEL SHANE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
(304) 746-2500
Mailing address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
(304) 746-2500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91004
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
91004
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/05/2022
Last updated
11/07/2024
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