Provider Demographics
NPI:1578539011
Name:FOUCH, ANITA CAROL (CFNP)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:CAROL
Last Name:FOUCH
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:DR
Other - First Name:ANITA
Other - Middle Name:CAROL
Other - Last Name:FOUCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:477 COOPER RD STE 450
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8070
Mailing Address - Country:US
Mailing Address - Phone:407-794-1455
Mailing Address - Fax:
Practice Address - Street 1:700 CHILDRENS DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2664
Practice Address - Country:US
Practice Address - Phone:614-722-3480
Practice Address - Fax:614-722-3454
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV49179363LF0000X
OHAPRN.CNP.08645363LP0200X
OH321505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics