Provider Demographics
NPI:1629324033
Name:FOULKES, AERELINE E (RN07)
Entity Type:Individual
Prefix:MS
First Name:AERELINE
Middle Name:E
Last Name:FOULKES
Suffix:
Gender:F
Credentials:RN07
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23839 149TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-3215
Mailing Address - Country:US
Mailing Address - Phone:646-238-2791
Mailing Address - Fax:
Practice Address - Street 1:23839 149TH AVE
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-3215
Practice Address - Country:US
Practice Address - Phone:646-238-2791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY437787-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse