Healthcare Provider Details

I. General information

NPI: 1235642570
Provider Name (Legal Business Name): VICTORIA NICHOLE FOSTER APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2017
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1671 BELLE ISLE AVE STE 110J
MOUNT PLEASANT SC
29464-8336
US

IV. Provider business mailing address

336 HAYFIELD CT
BOILING SPRINGS SC
29316-5173
US

V. Phone/Fax

Practice location:
  • Phone: 844-994-6633
  • Fax: 470-300-7913
Mailing address:
  • Phone: 864-529-6214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number21284
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: