Individual
JOSHUA MATTHEW FELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
7317 N WILLOW LAKE CT, PEORIA, IL 61614-8227
(309) 683-7373
(309) 691-4408
Mailing address
4032 N WALROND AVE, KANSAS CITY, MO 64117-1647
(816) 564-0504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020903
IL
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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