MEDICARE: RYAN FOLEY NP

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
1	363LG0600X	Gerontology Nurse Practitioner	C-APN.0001059-C-NP	CO

General Provider Information

NPI Number	:	1750751582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN FOLEY NP

Provider Business Mailing Address
First Line	:	1508 HARVEST DR
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-9434
Country	:	US
Telephone Number	:	804-640-6030
Fax Number	:

Provider Business Practice Location Address
First Line	:	5920 MCINTYRE ST
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80403
Country	:	US
Telephone Number	:	303-434-4876
Fax Number	:	303-225-4246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2015
Last Update Date	:	03/13/2026

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