MEDICARE: MRS. ALICE RUTH FOSTER-SMITH FNP/PNP

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	363LF0000X	Family Nurse Practitioner	203044	CA
2	363LP0200X	Pediatric Nurse Practitioner	203044	CA

General Provider Information

NPI Number	:	1417947433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALICE RUTH FOSTER-SMITH FNP/PNP

Provider Business Mailing Address
First Line	:	4757 E BYRD AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93725-1707
Country	:	US
Telephone Number	:	559-233-5910
Fax Number	:	559-233-0356

Provider Business Practice Location Address
First Line	:	2118 MARGUERITE ST
Second Line	:
City	:	DOS PALOS
State	:	CA
Zip	:	93620-2339
Country	:	US
Telephone Number	:	209-392-6121
Fax Number	:	559-392-8872

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

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	09/11/2025

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