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NPI Code Detail

MEDICARE: MS. ANGELIA L. FELTON-WILKS APNP, FNPC, PMHNP-BC

MEDICARE: MS. ANGELIA L. FELTON-WILKS APNP, FNPC, PMHNP-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
1363LF0000XFamily Nurse Practitioner669733WI
2363LF0000XFamily Nurse Practitioner6697-33WI
3363LP0808XPsychiatric/Mental Health Nurse Practitioner669733WI
4363LP0808XPsychiatric/Mental Health Nurse Practitioner6697-33WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669720041
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELIA L. FELTON-WILKS APNP, FNPC, PMHNP-BC
Provider Business Mailing Address
First Line : 7235 W APPLETON AVE STE 2
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1932
Country : US
Telephone Number : 414-312-8683
Fax Number : 414-488-8152
Provider Business Practice Location Address
First Line : 7235 W APPLETON AVE STE 2
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1932
Country : US
Telephone Number : 414-312-8683
Fax Number : 414-488-8152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2012
Last Update Date : 06/28/2024

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