Healthcare Provider Details

I. General information

NPI: 1851414825
Provider Name (Legal Business Name): ALICE CORINA FOY N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 09/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 6TH AVE S SUITE 100
SEATTLE WA
98108-3317
US

IV. Provider business mailing address

5950 6TH AVE S SUITE 100
SEATTLE WA
98108-3317
US

V. Phone/Fax

Practice location:
  • Phone: 206-805-1930
  • Fax:
Mailing address:
  • Phone: 206-805-1930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60246445
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number16410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: