Provider Demographics
NPI:1982208880
Name:FOY, TANEISHA NICOLE (LPN)
Entity Type:Individual
Prefix:
First Name:TANEISHA
Middle Name:NICOLE
Last Name:FOY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PARK LN W APT 7
Mailing Address - Street 2:
Mailing Address - City:MENANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12204-1915
Mailing Address - Country:US
Mailing Address - Phone:518-606-0687
Mailing Address - Fax:
Practice Address - Street 1:3 PARK LN W APT 7
Practice Address - Street 2:
Practice Address - City:MENANDS
Practice Address - State:NY
Practice Address - Zip Code:12204-1915
Practice Address - Country:US
Practice Address - Phone:518-606-0687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269921164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse