Healthcare Provider Details

I. General information

NPI: 1730898198
Provider Name (Legal Business Name): KATHRYN ELIZABETH FOLTZ DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 6TH AVE # W3
DES MOINES IA
50314-2610
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50305-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-8350
  • Fax: 515-643-5824
Mailing address:
  • Phone: 515-643-8350
  • Fax: 515-643-5824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberG171935
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG171935
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: