MEDICARE: ALEECE RENEE FOSNIGHT PA

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
1	363A00000X	Physician Assistant
2	363A00000X	Physician Assistant	0010-03053	NC

General Provider Information

NPI Number	:	1154600526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEECE RENEE FOSNIGHT PA

Provider Business Mailing Address
First Line	:	6 YORKSHIRE ST STE D
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28803-2768
Country	:	US
Telephone Number	:	828-724-7166
Fax Number	:	828-724-7165

Provider Business Practice Location Address
First Line	:	6 YORKSHIRE ST STE D
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28803-2768
Country	:	US
Telephone Number	:	828-724-7166
Fax Number	:	828-724-7165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2011
Last Update Date	:	03/29/2022

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