Kristine E. Fosler NP

NPI 1700193661 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1700193661
Gender Female
Enumeration Date 09/13/2010
Last Updated 04/14/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
1340 CHARLES ST STE 100
ROCKFORD IL, 61104-2200, US
Phone (779) 696-8700
Fax
Business Location
PO BOX 1567
ROCKFORD IL, 61110-0067, US
Phone
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 4155-33
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According to our database, Kristine E. Fosler NP NPI is 1700193661, taxonomy code is 363L00000X and license number is 4155-33, license state is located at Wisconsin. Kristine E. Fosler NP physically located at 1340 Charles St Ste 100, Rockford IL, 61104-2200. NPI Number Kristine E. Fosler NP has the Individual type.

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1700193661 NPI number is provided on an as is basis without warranty of any kind. 1700193661 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine E. Fosler NP are for informational purposes only.