Healthcare Provider Details

I. General information

NPI: 1457903205
Provider Name (Legal Business Name): DANA A FOSTER FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6710 OXON HILL RD STE 210
OXON HILL MD
20745-1124
US

IV. Provider business mailing address

6710 OXON HILL RD STE 210
OXON HILL MD
20745-1124
US

V. Phone/Fax

Practice location:
  • Phone: 240-559-4455
  • Fax: 240-622-9550
Mailing address:
  • Phone: 240-559-4455
  • Fax: 240-622-9550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024178180
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC005359
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024178180
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC005358
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: