Healthcare Provider Details

I. General information

NPI: 1568976710
Provider Name (Legal Business Name): RACHEL FOSTER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 12/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11795 EDUCATION ST STE 224
AUBURN CA
95602-2469
US

IV. Provider business mailing address

10470 OLD PLACERVILLE RD STE 100
SACRAMENTO CA
95827-2539
US

V. Phone/Fax

Practice location:
  • Phone: 530-889-7488
  • Fax:
Mailing address:
  • Phone: 800-972-5547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95008080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: