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Individual

TERESA MARIE FOSS

Active
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Individual

TERESA MARIE FOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
810764
NV
363LP2300X
Primary Care Nurse Practitioner
Primary
810764
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303930700
FL
01
59180754
BLUE CROSS BLUE SHIELD
AL
05
891010220
AL
05
891010230
AL
01
Y080L
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/09/2005
Last updated
06/28/2023
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