Provider Demographics
NPI:1366791519
Name:FOSTER, ANGELA ANN (RRT)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:ANN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:ME
Mailing Address - Zip Code:04901-3424
Mailing Address - Country:US
Mailing Address - Phone:207-649-3161
Mailing Address - Fax:
Practice Address - Street 1:28 RIVER RD
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:ME
Practice Address - Zip Code:04901-3424
Practice Address - Country:US
Practice Address - Phone:207-649-3161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
METH1789227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
METH1789OtherLICENSE