Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | CNP4757 | MN |
N | 363LG0600X | Nurse Practitioner - Gerontology | CNP4757 | MN |
NPI | 1003350695 |
---|---|
Provider Name | Angelika Alexandra Foley |
First Address | Saint Paul, MN 55107-2226 |
Second Address | Saint Paul, MN 55107-2226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2016 |
Last Update Date | 08/02/2019 |