Individual
MRS. SANDRIA JOAN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1136932
FL
163WG0600X
Gerontology Registered Nurse
1136932
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11001462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692190696 96
—
FL
05
—
692190696 98
—
FL
Enumeration date
01/11/2012
Last updated
06/26/2021
Update your record
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