Healthcare Provider Details

I. General information

NPI: 1982127460
Provider Name (Legal Business Name): CATHERINE ANN FOULK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 12/25/2025
Certification Date: 12/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1590
NORWICH VT
05055-1590
US

IV. Provider business mailing address

62 WILD GINGER LN
SHELBURNE VT
05482-6355
US

V. Phone/Fax

Practice location:
  • Phone: 802-526-2380
  • Fax:
Mailing address:
  • Phone: 802-207-3934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number044173-23
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number101.0123929
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: