Healthcare Provider Details

I. General information

NPI: 1689118929
Provider Name (Legal Business Name): LAYONDA FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2016
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 TILFORD CIR
MONROE LA
71201-2066
US

IV. Provider business mailing address

3708 TILFORD CIR
MONROE LA
71201-2066
US

V. Phone/Fax

Practice location:
  • Phone: 318-503-4982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number205908
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number205908
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number205908
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number205908
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number205908
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number20110740
License Number StateLA
# 7
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number205908
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: