Provider Demographics
NPI:1851414825
Name:FOY, ALICE CORINA (NP)
Entity Type:Individual
Prefix:MS
First Name:ALICE
Middle Name:CORINA
Last Name:FOY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5950 6TH AVE S
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-3317
Mailing Address - Country:US
Mailing Address - Phone:206-805-1930
Mailing Address - Fax:
Practice Address - Street 1:5950 6TH AVE S
Practice Address - Street 2:SUITE 100
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-3317
Practice Address - Country:US
Practice Address - Phone:206-805-1930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16410363LG0600X
WAAP60246445363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0288506OtherDEPT OF LABOR AND INDUSTRIES
CA16410OtherNP LICENSE NUMBER