Individual
MRS. NANCY KERN FEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
600 N WOLFE ST BLDG RM416, BALTIMORE, MD 21287-0005
(410) 955-5268
(410) 367-2258
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(314) 362-5470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2017016496
MO
363L00000X
Nurse Practitioner
Primary
R095563
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420048618
—
MO
Enumeration date
06/23/2006
Last updated
06/16/2022
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