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NPI Code Detail

MEDICARE: SARA FOELSTER CRNP

MEDICARE: SARA FOELSTER CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse26NR18967800NJ
2363LF0000XFamily Nurse PractitionerSP018637PA
3163W00000XRegistered NurseRN616492PA
4163W00000XRegistered NurseL1-0049312DE

General Provider Information

NPI Number : 1053834242
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA FOELSTER CRNP
Provider Business Mailing Address
First Line : 5800 WALNUT ST REAR
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3836
Country : US
Telephone Number : 215-474-4444
Fax Number : 215-474-6021
Provider Business Practice Location Address
First Line : 5800 WALNUT ST REAR
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3836
Country : US
Telephone Number : 215-474-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2017
Last Update Date : 03/12/2018

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