Healthcare Provider Details

I. General information

NPI: 1184001463
Provider Name (Legal Business Name): DEEDEE FOSTER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEEDEE PRICE ARNP

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 ROCK MERRITT AVENUE
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

8706 LYONIA DR
ORLANDO FL
32829-8623
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-8500
  • Fax:
Mailing address:
  • Phone: 719-888-0298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0991751-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: