| Doctor Name: | ANGELA FOSTER |
| NPI Number: | 1013376466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | SP015451 |
| Business Practice Address: | 3015 Lincoln Hwy Thorndale, PA - 193721114 |
| Business Phone Number: | 6102919334 |
| Business Fax Number: | |
| Mailing Address: | 2516 Bond Ave, DREXEL HILL |
| State: | PA |
| Postal Code: | 190261602 |
| Phone Number: | 6102919334 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2016 |
| NPI Last Update Date: | 02/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP015451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |