Provider Demographics
NPI:1093380891
Name:FOSTER, LILLIAN HUILI (DNP, NP-C)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:HUILI
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DNP, NP-C
Other - Prefix:
Other - First Name:HUILI
Other - Middle Name:
Other - Last Name:LUO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6709 E SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3738
Mailing Address - Country:US
Mailing Address - Phone:480-773-2220
Mailing Address - Fax:480-378-2440
Practice Address - Street 1:6709 E SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3738
Practice Address - Country:US
Practice Address - Phone:480-773-2220
Practice Address - Fax:480-378-2440
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ258029363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health