Provider Demographics
NPI:1871471797
Name:FOULK, ANN ELIZABETH (RN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:ELIZABETH
Last Name:FOULK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:965 JEFFERSON CHASE WAY
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-9154
Mailing Address - Country:US
Mailing Address - Phone:614-783-6366
Mailing Address - Fax:614-783-6366
Practice Address - Street 1:2615 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4039
Practice Address - Country:US
Practice Address - Phone:614-523-3261
Practice Address - Fax:614-523-3260
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN.315964163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator