Organization
NORTHSTAR ONLINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FOLEY NP (NURSE PRACTITIONER)
(804) 640-6030
Entity
Organization
Contact information
Practice address
1508 HARVEST DR, LAFAYETTE, CO 80026-9434
(804) 640-6030
(720) 405-4524
Mailing address
1508 HARVEST DR, LAFAYETTE, CO 80026-9434
(804) 640-6030
(720) 405-4524
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/20/2026
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