Individual
EBONY FELIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1545 CROSSWAYS BLVD., SUITE 250, CHESAPEAKE, VA 23320
(757) 777-3667
(757) 585-3418
Mailing address
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
(757) 777-3667
(757) 585-3418
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001271490
VA
171M00000X
Case Manager/Care Coordinator
0001271490
VA
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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