MEDICARE: MRS. DANIELLE FOY CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	SP007393	PA

General Provider Information

NPI Number	:	1134136856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE FOY CRNP

Provider Business Mailing Address
First Line	:	3535 MARKET ST
Second Line	:	14TH FLOOR, ROOM 1434
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3309
Country	:	US
Telephone Number	:	267-426-7329
Fax Number	:	267-426-5201

Provider Business Practice Location Address
First Line	:	3550 MARKET ST
Second Line	:	1ST & 2ND FLOORS
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3329
Country	:	US
Telephone Number	:	267-426-7329
Fax Number	:	267-426-5201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	12/15/2011

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