Healthcare Provider Details
I. General information
NPI: 1417086844
Provider Name (Legal Business Name): ROCHELLE LYNNETTE FOSTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/02/2007
Last Update Date: 10/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 TURK ST
SAN FRANCISCO CA
94102-3703
US
IV. Provider business mailing address
333 TURK ST
SAN FRANCISCO CA
94102-3703
US
V. Phone/Fax
- Phone: 415-885-2274
- Fax: 415-885-2234
- Phone: 415-885-2274
- Fax: 415-885-2234
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LC1500X |
| Taxonomy | Community Health Nurse Practitioner |
| License Number | 17758 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: