MEDICARE: ANN ELIZABETH FOULK RN

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	163WA2000X	Administrator Registered Nurse	RN.315964	OH

General Provider Information

NPI Number	:	1871471797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN ELIZABETH FOULK RN

Provider Business Mailing Address
First Line	:	965 JEFFERSON CHASE WAY
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-9154
Country	:	US
Telephone Number	:	614-783-6366
Fax Number	:	614-783-6366

Provider Business Practice Location Address
First Line	:	2615 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4039
Country	:	US
Telephone Number	:	614-523-3261
Fax Number	:	614-523-3260

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

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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