1003235128 NPI number — ERIN MIELE FOSTER PA-C

Table of content: ERIN MIELE FOSTER PA-C (NPI 1003235128)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003235128 NPI number — ERIN MIELE FOSTER PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FOSTER
Provider First Name:
ERIN
Provider Middle Name:
MIELE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MIELE
Provider Other First Name:
ERIN
Provider Other Middle Name:
LEE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1003235128
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 602381
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28260-2381
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-274-6000
Provider Business Mailing Address Fax Number:
828-274-6025

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5 VANDERBILT PARK DR
Provider Second Line Business Practice Location Address:
ASHEVILLE CARDIOLOGY ASSOCIATES
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28803-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-274-6000
Provider Business Practice Location Address Fax Number:
828-274-6025
Provider Enumeration Date:
04/16/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  0010-045951 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)