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NPI Code Detail

MEDICARE: CHARLIE DEAN FOSTER NP

MEDICARE: CHARLIE DEAN FOSTER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerCNP-01986NM
2363LF0000XFamily Nurse Practitioner790095TX
3363LA2100XAcute Care Nurse PractitionerAPRN11021014FL

General Provider Information

NPI Number : 1083890586
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLIE DEAN FOSTER NP
Provider Business Mailing Address
First Line : 3139 WHEELING AVE
Second Line :
City : EL PASO
State : TX
Zip : 79930-4321
Country : US
Telephone Number : 915-342-4573
Fax Number : 915-342-4573
Provider Business Practice Location Address
First Line : 1801 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-3524
Country : US
Telephone Number : 915-342-4573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2008
Last Update Date : 03/03/2026

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Directions to “ CHARLIE DEAN FOSTER NP” Practice Location

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