Healthcare Provider Details

I. General information

NPI: 1902877228
Provider Name (Legal Business Name): CHRISTINE J FELIX RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 06/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3907 SUMMITVIEW AVE
YAKIMA WA
98902-2716
US

IV. Provider business mailing address

PO BOX 8051
YAKIMA WA
98908-0051
US

V. Phone/Fax

Practice location:
  • Phone: 509-469-1903
  • Fax: 509-469-1905
Mailing address:
  • Phone: 509-469-1903
  • Fax: 509-469-1905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License NumberRN00088805
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00088805
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: