MEDICARE: MS. FELICIA LASHUN PHELPS REGISTERED NURSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	623002	TX

General Provider Information

NPI Number	:	1821592692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FELICIA LASHUN PHELPS REGISTERED NURSE

Provider Business Mailing Address
First Line	:	3885 FM 1399
Second Line	:
City	:	LINDEN
State	:	TX
Zip	:	75563-3929
Country	:	US
Telephone Number	:	903-306-4255
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 W NOLANA AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2528
Country	:	US
Telephone Number	:	903-881-3178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2018
Last Update Date	:	03/19/2018

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