Provider Demographics
NPI:1083251052
Name:FELICIA, NAHJELA
Entity Type:Individual
Prefix:
First Name:NAHJELA
Middle Name:
Last Name:FELICIA
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 1:3817 64TH AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1857
Mailing Address - Country:US
Mailing Address - Phone:240-495-9753
Mailing Address - Fax:
Practice Address - Street 1:3817 64TH AVE APT 101
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1857
Practice Address - Country:US
Practice Address - Phone:240-495-9753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide