Provider Demographics
NPI:1487158549
Name:FOSTER, RUTH ANN (RN)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:WALTER
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3005 STEEPLETON COLONY CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9275
Mailing Address - Country:US
Mailing Address - Phone:336-286-9441
Mailing Address - Fax:
Practice Address - Street 1:3005 STEEPLETON COLONY COURT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410
Practice Address - Country:US
Practice Address - Phone:336-286-9441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC290789163W00000X, 163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscienceGroup - Single Specialty