Healthcare Provider Details

I. General information

NPI: 1730936097
Provider Name (Legal Business Name): FOXFIRE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 01/04/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 RAVEN ROCK DR
BOONE NC
28607-5115
US

IV. Provider business mailing address

888 RAVEN ROCK DR
BOONE NC
28607-5115
US

V. Phone/Fax

Practice location:
  • Phone: 828-434-3479
  • Fax: 754-218-0891
Mailing address:
  • Phone: 828-434-3479
  • Fax: 754-218-0891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NATALIE BOVINO
Title or Position: OWNER
Credential:
Phone: 828-434-3479