Individual
EDGAR FOISY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
Mailing address
PO BOX 56, BRUSH PRAIRIE, WA 98606-0056
(503) 250-0392
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
092006540CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005612
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0266518
LABOR & INDUSTRIES
WA
05
—
1013664
—
WA
Enumeration date
10/23/2005
Last updated
10/20/2010
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