Provider Demographics
NPI:1801432513
Name:FOYE, MARY BRIDGID (MSN, FNP, NP-C)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BRIDGID
Last Name:FOYE
Suffix:
Gender:F
Credentials:MSN, FNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50605 BRADFORD RD
Mailing Address - Street 2:
Mailing Address - City:AGUANGA
Mailing Address - State:CA
Mailing Address - Zip Code:92536-9492
Mailing Address - Country:US
Mailing Address - Phone:951-764-2277
Mailing Address - Fax:
Practice Address - Street 1:50605 BRADFORD RD
Practice Address - Street 2:
Practice Address - City:AGUANGA
Practice Address - State:CA
Practice Address - Zip Code:92536-9492
Practice Address - Country:US
Practice Address - Phone:951-764-2277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily