Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP125354 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP125354 | TX |
NPI | 1184037558 |
---|---|
Provider Name | Ms. Melinda Jean Elterich Foster |
First Address | Arlington, TX 76012-4708 |
Second Address | Arlington, TX 76012-4708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2014 |
Last Update Date | 05/11/2019 |