Individual
MRS. ELIZABETH ANNE FEUCHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4600 BOHANNON DR STE 100, MENLO PARK, CA 94025-1037
(209) 677-7468
Mailing address
8258 GENTRY ST NW, MASSILLON, OH 44646-8729
(330) 524-2884
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.17476
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.17476
OH
Other
Enumeration date
06/24/2015
Last updated
01/28/2025
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