Basic Information
| Provider Information | |||||||||
| NPI: | 1205281235 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOSTER | ||||||||
| FirstName: | KATHARINE | ||||||||
| MiddleName: | NICOLE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP, APRN, FNP, ENP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 458 | ||||||||
| Address2: | |||||||||
| City: | SUNDANCE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 827290458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8436187363 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | CROOK COUNTY MEDICAL SERVICES DISTRICT | ||||||||
| Address2: | 713 E. OAK STREET | ||||||||
| City: | SUNDANCE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 82729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3072833501 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2016 | ||||||||
| LastUpdateDate: | 11/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 48182 | WY | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 363L00000X | 5009568 | NC | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LC0200X | APRN 20198 | SC | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Critical Care Medicine | 363L00000X | APRN 20198 | SC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.