Individual
DR. TANSHANICKA SHELLAMICE FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
3261 OLD WASHINGTON RD, WALDORF, MD 20602-3223
(301) 200-5790
Mailing address
3261 OLD WASHINGTON RD STE J-2020, WALDORF, MD 20602-3223
(301) 200-5790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1136376
TX
363LF0000X
Family Nurse Practitioner
5017872
NC
363LF0000X
Family Nurse Practitioner
Primary
NP67553
DC
363LF0000X
Family Nurse Practitioner
R143602
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
MD
Enumeration date
03/08/2020
Last updated
03/11/2026
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