Provider Demographics
NPI:1831493469
Name:FOSTER, STEPHANIE COLE (FNP)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:COLE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:STEPHANIE
Other - Middle Name:LYNNE
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 CHARTWELL DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-4783
Mailing Address - Country:US
Mailing Address - Phone:864-787-2176
Mailing Address - Fax:
Practice Address - Street 1:2210 LAURENS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3224
Practice Address - Country:US
Practice Address - Phone:864-288-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4154363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily