Healthcare Provider Details

I. General information

NPI: 1407781081
Provider Name (Legal Business Name): FELECIA CURTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FELECIA FOREMAN FNP-BC

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19520 LARIAT PL
WALDORF MD
20601-4936
US

IV. Provider business mailing address

19520 LARIAT PL
WALDORF MD
20601-4936
US

V. Phone/Fax

Practice location:
  • Phone: 301-502-7414
  • Fax:
Mailing address:
  • Phone: 301-502-7414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number2025068347
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number2025068347
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number2025068347
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: