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NPI Code Detail

MEDICARE: MRS. FELICA HOWARD BURNS PMH-NP, BC

MEDICARE: MRS. FELICA HOWARD BURNS PMH-NP, BC
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse1083323KY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner3003579KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14763090000OTHERKYMAGELLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000113141OTHERKYANTHEM

General Provider Information

NPI Number : 1669527172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FELICA HOWARD BURNS PMH-NP, BC
Provider Business Mailing Address
First Line : 1028 BARRET AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40204-1667
Country : US
Telephone Number : 502-289-5412
Fax Number : 502-585-9466
Provider Business Practice Location Address
First Line : 1028 BARRET AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40204-1667
Country : US
Telephone Number : 502-289-5412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 12/31/2024

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