Individual
ALICIA STODDARD FOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
15 DOWNING CIR, BLOOMINGTON, IL 61704-7620
(815) 303-4560
Mailing address
15 DOWNING CIR, BLOOMINGTON, IL 61704-7620
(815) 303-4560
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209-030301
IL
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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