Provider Demographics
NPI:1508511924
Name:FOLEY, LACINDA ANN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LACINDA
Middle Name:ANN
Last Name:FOLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:ANN
Other - Last Name:FOLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:2772 PILSON SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:VA
Mailing Address - Zip Code:24171-4301
Mailing Address - Country:US
Mailing Address - Phone:540-818-3192
Mailing Address - Fax:
Practice Address - Street 1:701 RANDOLPH ST STE 120
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-3047
Practice Address - Country:US
Practice Address - Phone:540-731-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183283363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily