MEDICARE: MS. ROCHELLE LYNNETTE FOSTER NP

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	363LC1500X	Community Health Nurse Practitioner	17758	CA

General Provider Information

NPI Number	:	1417086844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROCHELLE LYNNETTE FOSTER NP

Provider Business Mailing Address
First Line	:	333 TURK ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-3703
Country	:	US
Telephone Number	:	415-885-2274
Fax Number	:	415-885-2234

Provider Business Practice Location Address
First Line	:	333 TURK ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-3703
Country	:	US
Telephone Number	:	415-885-2274
Fax Number	:	415-885-2234

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

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	10/19/2009

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