Healthcare Provider Details

I. General information

NPI: 1770940231
Provider Name (Legal Business Name): MEGAN FOLEY RN, DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2016
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 LA JOLLA VILLAGE DR
SAN DIEGO CA
92161-1429
US

IV. Provider business mailing address

1824 ERIE ST
SAN DIEGO CA
92110-3509
US

V. Phone/Fax

Practice location:
  • Phone: 858-642-1538
  • Fax:
Mailing address:
  • Phone: 215-570-0628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209013909
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201607000NP-PP
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041423584
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: