Provider Demographics
NPI:1750806568
Name:FOX, NANCY CAROLYN (HIS)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:CAROLYN
Last Name:FOX
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 KINGSLAND CT UNIT 31
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-3140
Mailing Address - Country:US
Mailing Address - Phone:401-954-2589
Mailing Address - Fax:
Practice Address - Street 1:73 KINGSLAND CT UNIT 31
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:RI
Practice Address - Zip Code:02813-3140
Practice Address - Country:US
Practice Address - Phone:401-954-2589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI253237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty