Provider Demographics
NPI:1508998592
Name:FOLEY-MAYER, MARY ANN (DMH, RN, APN, C)
Entity Type:Individual
Prefix:MRS
First Name:MARY ANN
Middle Name:
Last Name:FOLEY-MAYER
Suffix:
Gender:F
Credentials:DMH, RN, APN, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 ROUTE 31 STE 100
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5773
Mailing Address - Country:US
Mailing Address - Phone:908-788-6654
Mailing Address - Fax:908-788-6452
Practice Address - Street 1:190 ROUTE 31 STE 100
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5773
Practice Address - Country:US
Practice Address - Phone:908-788-6654
Practice Address - Fax:908-788-6452
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC04807600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP24060Medicare UPIN