Wendy Davies Foster, RN
Individual provider Active NPI Registered Nurse · Cornish, UT
NPI 1992129753 · NPPES record last updated Feb 13, 2014
Key facts
- NPI
- 1992129753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 7294651.3102 (UT)
- Practice address
- 4473 W 13400 N
Cornish, UT 84308-1743 - Phone
- (435) 213-3123
- Fax
- (435) 213-3128
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7294651.3102 | UT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Youth Treatment | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 7294651.3102 | UT | Yes |
Addresses
Primary practice location
4473 W 13400 N
Cornish, UT 84308-1743
Mailing address
4473 W 13400 N
Cornish, UT 84308-1743
Phone (435) 213-3123
Other providers in Cornish, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.