Provider Demographics
NPI:1508511924
Name:FOLEY, LACINDA ANN (FNP)
Entity type:Individual
Prefix:MRS
First Name:LACINDA
Middle Name:ANN
Last Name:FOLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:ANN
Other - Last Name:FOLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:29 JONES ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-2716
Mailing Address - Country:US
Mailing Address - Phone:276-638-0787
Mailing Address - Fax:276-629-2695
Practice Address - Street 1:324 T B STANLEY HWY
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:VA
Practice Address - Zip Code:24055-6108
Practice Address - Country:US
Practice Address - Phone:276-638-0787
Practice Address - Fax:276-629-2695
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019071363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily