Healthcare Provider Details

I. General information

NPI: 1144147273
Provider Name (Legal Business Name): MRS. FELICITAS ANN PALMA SLONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18032 N 30TH ST
PHOENIX AZ
85032-1124
US

IV. Provider business mailing address

18032 N 30TH ST
PHOENIX AZ
85032-1124
US

V. Phone/Fax

Practice location:
  • Phone: 602-810-7449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN205564
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: