MEDICARE: JULIE ANN FOSTER MD

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	207Q00000X	Family Medicine Physician	10262	NV

General Provider Information

NPI Number	:	1861412736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANN FOSTER MD

Provider Business Mailing Address
First Line	:	2548 FERN MEADOW CIR
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-8447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 N CURRY ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-3919
Country	:	US
Telephone Number	:	775-841-2100
Fax Number	:

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	01/20/2010

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