Individual
ANGELA SMITH FELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1100 TORREY RD, 300, FENTON, MI 48430-3327
(810) 714-7369
(810) 714-9258
Mailing address
1161 QUEENS DR, OXFORD, MI 48371-5919
(248) 969-0032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704216442
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356618328
—
MI
01
—
5008614480
BCBS IND
MI
Enumeration date
05/24/2007
Last updated
08/10/2011
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