Individual
FELICIA CLAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
922 KINGSMAN RD, UPPER CHICHESTER, PA 19061-3121
(610) 299-4465
Mailing address
922 KINGSMAN RD, UPPER CHICHESTER, PA 19061-3121
(610) 299-4465
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290685
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102922546
MPI NUMBER
PA
Enumeration date
05/12/2015
Last updated
05/12/2015
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