Individual
NICHOLAS FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-8014
Mailing address
8427 N MOUNT PLEASANT RD, GOSPORT, IN 47433-9533
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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