Thomas Jeffrey Foraker, FNP-C
Nurse Practitioner, Family in Solon, OH. Individual provider (NPI-1).
NPI number1992237630
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1992237630
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas Jeffrey Foraker
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2017
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.020417 | OH | Yes |
| 363L00000X | Nurse Practitioner | 9437 | WI | |
| 363LF0000X | Nurse Practitioner, Family | 6903 | MN |
Practice location
29800 Bainbridge RdSolon, OH 44139-2202
Phone 440-519-6800
Mailing address
29800 Bainbridge RdSolon, OH 44139-2202
Phone 440-519-6800
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