Healthcare Provider Details

I. General information

NPI: 1366425951
Provider Name (Legal Business Name): VICKIE FOY PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 S 200 W
BLANDING UT
84511-3815
US

IV. Provider business mailing address

342 S 200 W
BLANDING UT
84511-3815
US

V. Phone/Fax

Practice location:
  • Phone: 970-254-8718
  • Fax:
Mailing address:
  • Phone: 970-254-8718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN.0003531-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: