MEDICARE: MS. SIERRA FOSTER

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	163W00000X	Registered Nurse	1056739	TX
2	363LF0000X	Family Nurse Practitioner	202766	LA

General Provider Information

NPI Number	:	1609375088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SIERRA FOSTER

Provider Business Mailing Address
First Line	:	732 CROZIER DR.
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111
Country	:	US
Telephone Number	:	318-286-4272
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 PIERREMONT RD STE 336
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-2083
Country	:	US
Telephone Number	:	318-286-4272
Fax Number	:

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

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	05/25/2026

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Directions to “ MS. SIERRA FOSTER ” Practice Location

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