Provider Demographics
NPI:1306160262
Name:FOSTER, LETOSHIA (APN- NP)
Entity type:Individual
Prefix:MS
First Name:LETOSHIA
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:APN- NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3016 W CHARLESTON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1973
Mailing Address - Country:US
Mailing Address - Phone:702-405-6503
Mailing Address - Fax:901-507-0558
Practice Address - Street 1:4000 E CHARLESTON BLVD STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-6681
Practice Address - Country:US
Practice Address - Phone:702-968-4000
Practice Address - Fax:702-968-4040
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNRN0000146220163W00000X
CA13689363LF0000X
CA783364S00000X
TNAPN0000014574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist