Individual
VICTORIA MAY FELLENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 MARYLAND RD STE 160, WILLOW GROVE, PA 19090-1137
(215) 672-8015
Mailing address
1254 LOWER STATE RD, CHALFONT, PA 18914-3418
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP023032
PA
363LS0200X
School Nurse Practitioner
RN627523
PA
Other
Enumeration date
08/18/2020
Last updated
01/31/2023
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