Healthcare Provider Details

I. General information

NPI: 1245217934
Provider Name (Legal Business Name): NANCY V. FELTON ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 12/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W BENSON BLVD SUITE 315
ANCHORAGE AK
99503-3679
US

IV. Provider business mailing address

1400 W BENSON BLVD SUITE 315
ANCHORAGE AK
99503-3679
US

V. Phone/Fax

Practice location:
  • Phone: 907-929-4009
  • Fax:
Mailing address:
  • Phone: 907-929-4009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number518
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number518
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: