MEDICARE: KARA L. FOSTER-WEISS M,D

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	0017000577	VA
2	207Q00000X	Family Medicine Physician	0101255880	VA

General Provider Information

NPI Number	:	1669426961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA L. FOSTER-WEISS M,D

Provider Business Mailing Address
First Line	:	229 WADSWORTH DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-4510
Country	:	US
Telephone Number	:	804-228-3627
Fax Number	:	804-560-1312

Provider Business Practice Location Address
First Line	:	229 WADSWORTH DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-4510
Country	:	US
Telephone Number	:	804-228-3627
Fax Number	:	804-560-1312

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	01/13/2016

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