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NPI Code Detail

MEDICARE: MS. FELICIA MONETA AMAN NURSE PRACTITIONER

MEDICARE:  MS. FELICIA MONETA AMAN  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner16588-33WI
2363L00000XNurse PractitionerAP10060AZ

General Provider Information

NPI Number : 1023376993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FELICIA MONETA AMAN NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 5750 JOHNSTON ST STE 205
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-5345
Country : US
Telephone Number : 337-991-9276
Fax Number :
Provider Business Practice Location Address
First Line : 1366 E SUMNER ST # 1002
Second Line :
City : HARTFORD
State : WI
Zip : 53027-1614
Country : US
Telephone Number : 337-991-9276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2012
Last Update Date : 03/19/2026

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Directions to “ MS. FELICIA MONETA AMAN NURSE PRACTITIONER” Practice Location

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