Healthcare Provider Details

I. General information

NPI: 1699679365
Provider Name (Legal Business Name): MONICA KATE FOSTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6571 AFTERHOURS ROAD
BRULE WI
54820
US

IV. Provider business mailing address

5061 S COUNTY ROAD O
MAPLE WI
54854-9161
US

V. Phone/Fax

Practice location:
  • Phone: 608-647-1173
  • Fax:
Mailing address:
  • Phone: 218-428-6643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2538818
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: