Provider Demographics
NPI:1689954489
Name:FOULKER, BRIANNE (ARNP)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:FOULKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:BRIANNE
Other - Middle Name:
Other - Last Name:BILDSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE--ENDOCRINOLOGY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE--ENDOCRINOLOGY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-467-2000
Practice Address - Fax:319-467-2506
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-115070363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily