Healthcare Provider Details

I. General information

NPI: 1417062985
Provider Name (Legal Business Name): CHERYL FOSTER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 MILLS AVE SUITE 201
GREENVILLE SC
29605-5602
US

IV. Provider business mailing address

527 MILLS AVE SUITE 201
GREENVILLE SC
29605-5602
US

V. Phone/Fax

Practice location:
  • Phone: 864-242-6565
  • Fax: 864-242-3175
Mailing address:
  • Phone: 864-242-6565
  • Fax: 864-242-3175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3569
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number3569
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: