Healthcare Provider Details

I. General information

NPI: 1184043416
Provider Name (Legal Business Name): CHARLOTTE RENEE FELTS RAMIEH DNP,NNP-BC,MSN,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E DAWSON ST
TYLER TX
75701-2036
US

IV. Provider business mailing address

2201 MURPHY AVE STE 207
NASHVILLE TN
37203-1954
US

V. Phone/Fax

Practice location:
  • Phone: 903-606-1800
  • Fax:
Mailing address:
  • Phone: 615-342-4660
  • Fax: 615-342-4662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPN20166
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number5752-33
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number20166
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number1017564
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: