Healthcare Provider Details

I. General information

NPI: 1285506931
Provider Name (Legal Business Name): AMELIA ROSEBUD FEIGNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S FREYA ST STE GREEN210
SPOKANE WA
99202-4862
US

IV. Provider business mailing address

104 S FREYA ST STE GREEN210
SPOKANE WA
99202-4862
US

V. Phone/Fax

Practice location:
  • Phone: 509-992-9075
  • Fax:
Mailing address:
  • Phone: 509-992-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70026187
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61045059
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: