Healthcare Provider Details

I. General information

NPI: 1063448512
Provider Name (Legal Business Name): KRISTIN FOERSTER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 W NEWBERRY RD SUITE 508
GAINESVILLE FL
32605-4381
US

IV. Provider business mailing address

6440 W NEWBERRY RD SUITE 508
GAINESVILLE FL
32605-4381
US

V. Phone/Fax

Practice location:
  • Phone: 352-332-7222
  • Fax: 352-332-7330
Mailing address:
  • Phone: 352-332-7222
  • Fax: 352-332-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP2583362
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: