Doctor Name: | DARCI L. FEIDEN |
NPI Number: | 1194192559 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 2015028249 |
Business Practice Address: | 1303 State St Mound City, MO - 644701717 |
Business Phone Number: | 6604425464 |
Business Fax Number: | 6604425369 |
Mailing Address: | 1303 State St, MOUND CITY |
State: | MO |
Postal Code: | 644701717 |
Phone Number: | 6604425464 |
Fax Number: | 6604425369 |
NPI Enumeration Date: | 09/01/2015 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2015028249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |