MEDICARE: WHITNEY SHAE FOUST ACNPC-AG

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
1	363LG0600X	Gerontology Nurse Practitioner	255664	AZ
2	363LG0600X	Gerontology Nurse Practitioner	26NJ15392900	NJ
3	363LA2100X	Acute Care Nurse Practitioner	26NR26992000	NJ
4	363L00000X	Nurse Practitioner	25564	AZ
5	163WC0200X	Critical Care Medicine Registered Nurse	RN211339	AZ

General Provider Information

NPI Number	:	1184213423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY SHAE FOUST ACNPC-AG

Provider Business Mailing Address
First Line	:	PO BOX 33269
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85067-3269
Country	:	US
Telephone Number	:	602-406-4786
Fax Number	:	916-636-4358

Provider Business Practice Location Address
First Line	:	500 W THOMAS RD STE 850
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-4218
Country	:	US
Telephone Number	:	602-406-1150
Fax Number	:	602-406-1159

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2021
Last Update Date	:	05/05/2026

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