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NPI Code Detail

MEDICARE: MS. MARY FOLEY N.P.

MEDICARE: MS. MARY FOLEY N.P.
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
1363LC1500XCommunity Health Nurse Practitioner187153MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376548941
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY FOLEY N.P.
Provider Business Mailing Address
First Line : 5 MONA ST
Second Line :
City : LAKEVILLE
State : MA
Zip : 02347-2529
Country : US
Telephone Number : 508-386-6362
Fax Number :
Provider Business Practice Location Address
First Line : 9900 BREN RD E
Second Line :
City : MINNETONKA
State : MN
Zip : 55343-9664
Country : US
Telephone Number : 508-789-9755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 06/26/2020

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