MEDICARE: MRS. FELICIA SWILLING LEINEWEBER PA-C

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	363A00000X	Physician Assistant	C0002308	MD

General Provider Information

NPI Number	:	1962409854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FELICIA SWILLING LEINEWEBER PA-C

Provider Business Mailing Address
First Line	:	5601 LOCH RAVEN BLVD
Second Line	:	STE 3
City	:	BALTIMORE
State	:	MD
Zip	:	21239-2905
Country	:	US
Telephone Number	:	443-444-3775
Fax Number	:	443-444-4678

Provider Business Practice Location Address
First Line	:	5205 CHAIRMANS CT STE 100
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-2916
Country	:	US
Telephone Number	:	301-696-0012
Fax Number	:	301-696-0016

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	06/17/2021

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