Foster, Marilyn W

Foster, Marilyn W is an sole proprietor health care provider with primary practice located at 854 Ferguson Rd , Sebastopol CA 95472-9666. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Foster, Marilyn W can be contacted via phone (707) 799-0421.

Contact Information

Primary practice address
854 Ferguson Rd Sebastopol CA 95472-9666
Phone: (707) 799-0421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN169169 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP294 California
Nursing Service Providers / Gerontology 163WG0600X RN169169 California

Profile Details

NPI number 1679564215
LBN Legal business name Foster, Marilyn W
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679564215 NPPES
California MEDICAID NP000294
California Other 2005453181
California MEDICAID NP0002940

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