Provider Demographics
NPI:1942237458
Name:FOLEY, LINDA CHERYL (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CHERYL
Last Name:FOLEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 W JAMES LEE BLVD
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32536-5129
Mailing Address - Country:US
Mailing Address - Phone:850-585-3973
Mailing Address - Fax:
Practice Address - Street 1:109 OLD SOUTH DR
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-5565
Practice Address - Country:US
Practice Address - Phone:850-585-3973
Practice Address - Fax:850-682-0227
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1070502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily