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NPI Code Detail

MEDICARE: MS. CARISSA COLLEEN FOLEY FNP-BC

MEDICARE: MS. CARISSA COLLEEN FOLEY FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner065733-21NH
2363LF0000XFamily Nurse PractitionerRN2276703MA

General Provider Information

NPI Number : 1114393865
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARISSA COLLEEN FOLEY FNP-BC
Provider Business Mailing Address
First Line : 14 INGALLS CT
Second Line :
City : METHUEN
State : MA
Zip : 01844-3717
Country : US
Telephone Number : 978-686-2807
Fax Number :
Provider Business Practice Location Address
First Line : 14 INGALLS CT
Second Line :
City : METHUEN
State : MA
Zip : 01844-3717
Country : US
Telephone Number : 978-686-2807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2015
Last Update Date : 09/17/2025

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