Doctor Name: | CARLIE FELION |
NPI Number: | 1194153593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, FNP-BC |
License Number: | 101.0098915 |
Business Practice Address: | 655 Main St, Suite 1 Mt Anthony Primary Care Bennington, VT - 05201 |
Business Phone Number: | 8024472343 |
Business Fax Number: | 8024424636 |
Mailing Address: | 655 Main St, Suite 1, Mt Anthony Primary Care BENNINGTON |
State: | VT |
Postal Code: | 05201 |
Phone Number: | 8024472343 |
Fax Number: | 8024424636 |
NPI Enumeration Date: | 10/22/2013 |
NPI Last Update Date: | 10/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 101.0098915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |