Provider Demographics
NPI:1457742355
Name:FOGGIE, SALONIA (APN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SALONIA
Middle Name:
Last Name:FOGGIE
Suffix:
Gender:F
Credentials:APN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 COMMERCE ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1826
Mailing Address - Country:US
Mailing Address - Phone:615-545-9850
Mailing Address - Fax:
Practice Address - Street 1:564 W RANDOLPH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-2218
Practice Address - Country:US
Practice Address - Phone:847-448-0400
Practice Address - Fax:888-977-1806
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-12
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.012325363LF0000X
IN71006266A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily