Provider Demographics
NPI:1457525040
Name:FOLEY, TRICIA S (MS, RS)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:S
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MS, RS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 SEQUOIA CIR NW
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-5718
Mailing Address - Country:US
Mailing Address - Phone:301-752-1847
Mailing Address - Fax:
Practice Address - Street 1:255 SEQUOIA CIR NW
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-5718
Practice Address - Country:US
Practice Address - Phone:301-752-1847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered