Healthcare Provider Details

I. General information

NPI: 1497477202
Provider Name (Legal Business Name): VICTORIA ANNE FELTY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11551 NUCKOLS RD STE C
GLEN ALLEN VA
23059-5565
US

IV. Provider business mailing address

11551 NUCKOLS RD STE C
GLEN ALLEN VA
23059-5565
US

V. Phone/Fax

Practice location:
  • Phone: 804-888-6800
  • Fax:
Mailing address:
  • Phone: 804-888-6800
  • Fax: 804-888-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71013138A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024194340
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: