MEDICARE: MS. DANA A FOSTER FNP-BC, PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024178180	VA
2	363LF0000X	Family Nurse Practitioner	0024178180	VA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AC005358	MD
4	363LF0000X	Family Nurse Practitioner	AC005359	MD

General Provider Information

NPI Number	:	1457903205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA A FOSTER FNP-BC, PMHNP-BC

Provider Business Mailing Address
First Line	:	6710 OXON HILL RD STE 210
Second Line	:
City	:	OXON HILL
State	:	MD
Zip	:	20745-1124
Country	:	US
Telephone Number	:	240-559-4455
Fax Number	:	240-622-9550

Provider Business Practice Location Address
First Line	:	6710 OXON HILL RD STE 210
Second Line	:
City	:	OXON HILL
State	:	MD
Zip	:	20745-1124
Country	:	US
Telephone Number	:	240-559-4455
Fax Number	:	240-622-9550

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

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	01/27/2026

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