Provider Demographics
NPI:1902929433
Name:FOLSE, PATRICIA GAYLE (LVN)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:GAYLE
Last Name:FOLSE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1052
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-1052
Mailing Address - Country:US
Mailing Address - Phone:817-899-7849
Mailing Address - Fax:
Practice Address - Street 1:9420 COUNTY ROAD 513
Practice Address - Street 2:
Practice Address - City:ALVARADO
Practice Address - State:TX
Practice Address - Zip Code:76009-8740
Practice Address - Country:US
Practice Address - Phone:817-899-7849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69674164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse