# FELICIA RENEE NEVAYAKTEWA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447576798
- **Gender:** F
- **Credential:** M.A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374700000X | Technician | 147542 | AZ | Yes |

## Other

- **Enumeration date:** 04/12/2010
- **Last updated:** 04/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 020529 | — | AZ |