Healthcare Provider Details

I. General information

NPI: 1063434553
Provider Name (Legal Business Name): KAREN LEE FOSTER RNC WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 E BATTLEFIELD
SPRINGFIELD MO
65807
US

IV. Provider business mailing address

831 CHINKAPIN AVE
NIXA MO
65714
US

V. Phone/Fax

Practice location:
  • Phone: 417-883-3800
  • Fax: 417-883-3994
Mailing address:
  • Phone: 417-724-2289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number097100
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: