Provider Demographics
NPI:1033562194
Name:TRUSS, FELICIA YVETTE
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:YVETTE
Last Name:TRUSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3503 ANGEL DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-7211
Mailing Address - Country:US
Mailing Address - Phone:989-326-6556
Mailing Address - Fax:
Practice Address - Street 1:3503 ANGEL DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-7211
Practice Address - Country:US
Practice Address - Phone:989-326-6556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other