Provider Demographics
NPI:1144050808
Name:AE FOSTER FNP LLC
Entity type:Organization
Organization Name:AE FOSTER FNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:818-800-5684
Mailing Address - Street 1:14955 SATICOY ST APT 127
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-1144
Mailing Address - Country:US
Mailing Address - Phone:424-256-0089
Mailing Address - Fax:818-475-1841
Practice Address - Street 1:14955 SATICOY ST APT 127
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-1144
Practice Address - Country:US
Practice Address - Phone:424-256-0089
Practice Address - Fax:818-475-1841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty