IndividualActive
Alicia Stoddard Foley, PMHNP-BC
NPI 1962236224 · Psychiatric/Mental Health Nurse Practitioner · Bloomington, IL
Provider details
- NPI number
- 1962236224
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209-030301 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
15 Downing Cir
Bloomington, IL 61704-7620
Phone: (815) 303-4560
Approximate (ZIP-level) locationGet directions
Mailing address
15 Downing Cir
Bloomington, IL 61704-7620
Additional practice locations (1)
- 2428 Charles StLasalle, IL 61301Phone: (815) 780-8765
Registry dates
- Enumerated
- 2024-08-29
- Last updated
- 2024-08-29
- Certified
- 2024-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.