Individual
MRS. BONNIE LILA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1508 DOUGLAS AVE, COLLEYVILLE, TX 76034-6261
(817) 776-0903
Mailing address
1508 DOUGLAS AVE, COLLEYVILLE, TX 76034-6261
(817) 776-0903
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP122226
TX
363LW0102X
Women's Health Nurse Practitioner
539997
TX
Other
Enumeration date
04/02/2013
Last updated
11/03/2020
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