Provider Demographics
NPI:1568355519
Name:FOSTER, AMBER NICHOLE (LPN)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:NICHOLE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:NICHOLE
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AMBER FOSTER, LPN
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:
Mailing Address - City:ROBBINS
Mailing Address - State:TN
Mailing Address - Zip Code:37852-0074
Mailing Address - Country:US
Mailing Address - Phone:423-223-7619
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 74
Practice Address - Street 2:
Practice Address - City:ROBBINS
Practice Address - State:TN
Practice Address - Zip Code:37852-0074
Practice Address - Country:US
Practice Address - Phone:423-223-7619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN100853164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse