Healthcare Provider Details

I. General information

NPI: 1295642510
Provider Name (Legal Business Name): STERK B. FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18028 RED CEDAR RD
DUMFRIES VA
22026-2944
US

IV. Provider business mailing address

18028 RED CEDAR RD
DUMFRIES VA
22026-2944
US

V. Phone/Fax

Practice location:
  • Phone: 703-203-9371
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0704018885
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: