Provider Demographics
NPI:1144596867
Name:FOILES, THERESE M (LPN)
Entity type:Individual
Prefix:MS
First Name:THERESE
Middle Name:M
Last Name:FOILES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3630 BRECKENRIDGE CT
Mailing Address - Street 2:APT 9
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3660
Mailing Address - Country:US
Mailing Address - Phone:815-543-8125
Mailing Address - Fax:
Practice Address - Street 1:3630 BRECKENRIDGE CT
Practice Address - Street 2:APT 9
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53713-3660
Practice Address - Country:US
Practice Address - Phone:815-543-8125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI312095-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse