MEDICARE: KATHRYN J FOLEY RN, MS

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	363LC1500X	Community Health Nurse Practitioner	132907	MA

General Provider Information

NPI Number	:	1568664001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN J FOLEY RN, MS

Provider Business Mailing Address
First Line	:	PO BOX 442023
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02144-0018
Country	:	US
Telephone Number	:	617-634-2906
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 PARTRIDGE AVE
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02145-3629
Country	:	US
Telephone Number	:	617-634-2906
Fax Number	:

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

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	05/12/2017

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