Individual
ERIKA LEIGH FELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 201, GREENWOOD, IN 46143-1072
(618) 979-2801
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10002056A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005312
—
IN
01
—
P01751313
RR MEDICARE
IN
Enumeration date
06/01/2016
Last updated
11/27/2023
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