Healthcare Provider Details

I. General information

NPI: 1467366492
Provider Name (Legal Business Name): FELLS COMMUNITY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HIGH ST STE 10
MEDFORD MA
02155-3848
US

IV. Provider business mailing address

10 HIGH ST STE 10
MEDFORD MA
02155-3848
US

V. Phone/Fax

Practice location:
  • Phone: 617-690-7722
  • Fax: 857-491-8743
Mailing address:
  • Phone: 617-690-7722
  • Fax: 857-491-8743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. RAEDJIO KAY ARROWROOT NARO
Title or Position: OWNER
Credential: FNP-BC
Phone: 617-690-7722