Individual
DEBORAH A FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4340 SAN MATEO BLVD, NE, STORE #8918 MINUTE CLINIC, ALBUQUERQUE, NM 87110
(505) 884-0417
Mailing address
7101 BEVERLY HILLS AVE NE, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87113-2145
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
94-PA23
NM
363A00000X
Physician Assistant
Primary
94-PA23
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000H8004
—
NM
Enumeration date
03/02/2007
Last updated
09/19/2014
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