Individual
FELICIA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8 WALNUT LN, MIDDLETOWN, NY 10940-6800
(845) 699-3375
Mailing address
8 WALNUT LN, MIDDLETOWN, NY 10940-6800
(845) 699-3375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340043
NY
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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