Individual
MAE FOSTER HICKORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
12 UNION ST APT 1, WATERBURY, VT 05676-1309
(802) 353-5543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
101.0122812
VT
363LF0000X
Family Nurse Practitioner
Primary
091979-23
NH
Other
Enumeration date
07/27/2016
Last updated
09/12/2023
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