Individual
ANNA THERESA FELLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. M.P.H.
Contact information
Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 853-1082
(509) 452-5224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A138371
CA
207Q00000X
Family Medicine Physician
Primary
MD61270335
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212450
—
WA
Enumeration date
05/17/2014
Last updated
07/28/2022
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