Healthcare Provider Details

I. General information

NPI: 1245548718
Provider Name (Legal Business Name): ASHLEY L. FOSTER ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2010
Last Update Date: 01/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2369 STAPLES MILL RD SUITE 200
RICHMOND VA
23230-2909
US

IV. Provider business mailing address

5003 COUNTRY WAY PL
GLEN ALLEN VA
23060-3179
US

V. Phone/Fax

Practice location:
  • Phone: 804-285-8206
  • Fax:
Mailing address:
  • Phone: 804-467-4098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001199995
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024169029
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: