1659557569 NPI number — MS. CHRISTINA LOUISE FELTEN MSN,CNM

Table of content: MS. CHRISTINA LOUISE FELTEN MSN,CNM (NPI 1659557569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659557569 NPI number — MS. CHRISTINA LOUISE FELTEN MSN,CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FELTEN
Provider First Name:
CHRISTINA
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSN,CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FELTEN
Provider Other First Name:
TINA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1659557569
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1754
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18105-1754
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-798-4500
Provider Business Mailing Address Fax Number:
610-798-4599

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1611 POND RD
Provider Second Line Business Practice Location Address:
401
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-2258
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-398-7700
Provider Business Practice Location Address Fax Number:
610-398-6913
Provider Enumeration Date:
01/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  MW010161 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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