Healthcare Provider Details

I. General information

NPI: 1063111714
Provider Name (Legal Business Name): HEATHER HOGAN FOSHEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2023
Last Update Date: 01/23/2025
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 OBERY ST #201
PLYMOUTH MA
02360
US

IV. Provider business mailing address

47 OBERY ST #201
PLYMOUTH MA
02360
US

V. Phone/Fax

Practice location:
  • Phone: 508-747-1560
  • Fax: 508-747-5155
Mailing address:
  • Phone: 508-747-1560
  • Fax: 508-747-5155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN2307482
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number00000000000
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: