Provider Demographics
NPI:1295917177
Name:FOLTZ, KATHY S (CRNP)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:S
Last Name:FOLTZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 E 18TH ST
Mailing Address - Street 2:MULTICULTURAL HEALTH EVALUATION DELIVERY SYSTEMS INC.
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-6281
Mailing Address - Country:US
Mailing Address - Phone:814-464-0392
Mailing Address - Fax:814-464-3094
Practice Address - Street 1:1843 EAST 18TH STREET
Practice Address - Street 2:MULTICULTURAL HEALTH EVALUATION DELIVERY SYSTEMS INC
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510
Practice Address - Country:US
Practice Address - Phone:814-464-0392
Practice Address - Fax:814-464-0394
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005911-B363L00000X
PATP005911B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027728790001Medicaid
PA002023198OtherHIGHMARK
PA10277287900002Medicaid
PA002023198OtherHIGHMARK