Provider Demographics
NPI:1457157646
Name:FOSTER SPENCER, TANESIA BERNADETTE
Entity type:Individual
Prefix:MRS
First Name:TANESIA
Middle Name:BERNADETTE
Last Name:FOSTER SPENCER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 PRADO ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1025
Mailing Address - Country:US
Mailing Address - Phone:772-274-2227
Mailing Address - Fax:
Practice Address - Street 1:103 PRADO ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1025
Practice Address - Country:US
Practice Address - Phone:772-274-2227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL240441376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty