Provider Demographics
NPI:1457076929
Name:FOLTZ, SUE
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:
Last Name:FOLTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 CHAMBERY CIR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-5024
Mailing Address - Country:US
Mailing Address - Phone:408-724-1963
Mailing Address - Fax:
Practice Address - Street 1:5940 CHAMBERY CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-5024
Practice Address - Country:US
Practice Address - Phone:408-724-1963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula