Individual
ELIZABETH FOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4949 E 246TH ST, ARCADIA, IN 46030
(608) 290-2225
Mailing address
4949 E 246TH ST, ARCADIA, IN 46030-9668
(608) 290-2225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153707-030
WI
363LF0000X
Family Nurse Practitioner
Primary
28204567A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35040900
—
WI
Enumeration date
12/07/2007
Last updated
05/29/2018
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