Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 132907 | MA |
NPI | 1568664001 |
---|---|
Provider Name | Kathryn J Foley |
First Address | Somerville, MA 02144-0018 |
Second Address | Somerville, MA 02145-3629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 12/05/2017 |