Individual
MS. ANNA MARIA FOOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
3405 KEVIN CIR, WARREN, MI 48092-2282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018
NH
363AM0700X
Medical Physician Assistant
5601011013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601011013
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
12/17/2018
Last updated
05/21/2023
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