Healthcare Provider Details

I. General information

NPI: 1528524592
Provider Name (Legal Business Name): CHRISTINE FOSTER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2019
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 S ROUTT ST STE 250
LAKEWOOD CO
80228-2271
US

IV. Provider business mailing address

10105 WHITE OAK WAY
HIGHLANDS RANCH CO
80129-4640
US

V. Phone/Fax

Practice location:
  • Phone: 720-712-0306
  • Fax: 720-654-2702
Mailing address:
  • Phone: 636-627-1802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2011021068
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0997534-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: