Healthcare Provider Details

I. General information

NPI: 1063662005
Provider Name (Legal Business Name): TIONNA S FELDER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 FARRINGTON ST
VAUXHALL NJ
07088-1307
US

IV. Provider business mailing address

3 FARRINGTON ST
VAUXHALL NJ
07088-1307
US

V. Phone/Fax

Practice location:
  • Phone: 973-762-4944
  • Fax:
Mailing address:
  • Phone: 973-762-4944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15445700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: