MEDICARE: SHELLY ANN FOLTZ CRNA

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	367500000X	Certified Registered Nurse Anesthetist	ARNP 1796622	FL
2	367H00000X	Anesthesiologist Assistant	ARNP1796622	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1962482794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELLY ANN FOLTZ CRNA

Provider Business Mailing Address
First Line	:	418 ROYAL TERN RD S
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-7222
Country	:	US
Telephone Number	:	904-501-8995
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 ROYAL TERN RD S
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-7222
Country	:	US
Telephone Number	:	904-501-8985
Fax Number	:

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

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	07/08/2019

Similar Medicare Providers

1871450940 — BPR MEDICAL LLC DBA SOWAL HEALTH AND WELLNESS
Practice Location Address:

9375 EMERALD COAST PKWY W STE 27A
MIRAMAR BEACH, FL
32550-7222

Practice Phone: 850-353-2743
Practice Fax: 850-373-4875

1265451538 — MS. CARRIE A CHAMBERS PT
Practice Location Address:

6632 SW LUANA BEACH RD
VASHON, WA
98070-7222

Practice Phone: 206-459-7724
Practice Fax:

1518974591 — WALGREEN CO
Practice Location Address:

1250 NE JENSEN BEACH BLVD
JENSEN BEACH, FL
34957-7222

Practice Phone: 772-334-5886
Practice Fax:

1992870059 — EMILY S LARGE P.T.
Practice Location Address:

718 KANUGA DR
WEST PALM BEACH, FL
33401-7222

Practice Phone: 561-762-3105
Practice Fax: 561-828-0924

1093948135 — LIVING LARGE THERAPEUTICS LLC
Practice Location Address:

718 KANUGA DR
WEST PALM BEACH, FL
33401-7222

Practice Phone: 561-762-3105
Practice Fax:

1700103595 — MARY KATHRYN FERGUSON PHARMD
Practice Location Address:

1250 NE JENSEN BEACH BLVD
JENSEN BEACH, FL
34957-7222

Practice Phone: 772-334-5886
Practice Fax: 772-463-5319

Directions to “ SHELLY ANN FOLTZ CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.