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NPI Code Detail

MEDICARE: ZACHARY DAVID FOSTER RN

MEDICARE: ZACHARY DAVID FOSTER RN
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 Nurse122739WV

General Provider Information

NPI Number : 1417890005
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY DAVID FOSTER RN
Provider Business Mailing Address
First Line : PO BOX 323
Second Line :
City : GLASGOW
State : WV
Zip : 25086-0323
Country : US
Telephone Number : 304-964-0726
Fax Number :
Provider Business Practice Location Address
First Line : 3200 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1227
Country : US
Telephone Number : 304-388-4397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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