Provider Demographics
NPI:1902957491
Name:FOSTER, ANNE (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 SOUTH PACHECO ST.
Mailing Address - Street 2:HSD/MAD
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87504
Mailing Address - Country:US
Mailing Address - Phone:575-770-2501
Mailing Address - Fax:
Practice Address - Street 1:2025 SOUTH PACHECO ST.
Practice Address - Street 2:HSD/MAD
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87504
Practice Address - Country:US
Practice Address - Phone:575-770-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2005-0698207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology