MEDICARE: MARQUITA FELDMAN FNP

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
1	363LF0000X	Family Nurse Practitioner	SP016486	PA

General Provider Information

NPI Number	:	1164979621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUITA FELDMAN FNP

Provider Business Mailing Address
First Line	:	725 YORK AVE
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-3330
Country	:	US
Telephone Number	:	814-321-8444
Fax Number	:	215-798-7641

Provider Business Practice Location Address
First Line	:	725 YORK AVE
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-3330
Country	:	US
Telephone Number	:	814-321-8844
Fax Number	:	215-798-7641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	12/02/2025

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