Doctor Name: | MRS. ALICE RUTH FOSTER-SMITH |
NPI Number: | 1417947433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP/PNP |
License Number: | 203044 |
Business Practice Address: | 2118 Marguerite St Dos Palos, CA - 936202339 |
Business Phone Number: | 2093926121 |
Business Fax Number: | 5593928872 |
Mailing Address: | 4757 E Byrd Ave, FRESNO |
State: | CA |
Postal Code: | 937251707 |
Phone Number: | 5592335910 |
Fax Number: | 5592330356 |
NPI Enumeration Date: | 10/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 203044 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |