Healthcare Provider Details

I. General information

NPI: 1083937189
Provider Name (Legal Business Name): JANINE FOSTER-BOSWELL ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2-A INDUSTRIAL PARK DR UNIT 442
WALDORF MD
20602
US

IV. Provider business mailing address

2-A INDUSTRIAL PARK DR UNIT 442
WALDORF MD
20602
US

V. Phone/Fax

Practice location:
  • Phone: 646-761-6953
  • Fax:
Mailing address:
  • Phone: 646-761-6953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ00252400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number430487
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: