Healthcare Provider Details

I. General information

NPI: 1407851611
Provider Name (Legal Business Name): KAREN FOSTER-ANDERSON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24430 STONE SPRINGS BLVD., SUITE 550
DULLES VA
20166
US

IV. Provider business mailing address

224-D CORNWALL ST., NW, SUITE 403
LEESBURG VA
20176-2704
US

V. Phone/Fax

Practice location:
  • Phone: 703-957-1246
  • Fax: 703-665-2374
Mailing address:
  • Phone: 703-737-6010
  • Fax: 703-443-8643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number097
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024090593
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: