Healthcare Provider Details

I. General information

NPI: 1588087894
Provider Name (Legal Business Name): NANCY FEIWEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 08/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 OKEECHOBEE BLVD APT 1102
WEST PALM BEACH FL
33401-6335
US

IV. Provider business mailing address

550 OKEECHOBEE BLVD APT 1102
WEST PALM BEACH FL
33401-6335
US

V. Phone/Fax

Practice location:
  • Phone: 973-714-6925
  • Fax:
Mailing address:
  • Phone: 973-714-6925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number263413
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: