Provider Demographics
NPI:1154683951
Name:MCFELT-WILLIAMS, STEFANIE YVONNE (ACNP)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:YVONNE
Last Name:MCFELT-WILLIAMS
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1393 GEORGE DIETER DR
Mailing Address - Street 2:STE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7410
Mailing Address - Country:US
Mailing Address - Phone:915-598-8120
Mailing Address - Fax:
Practice Address - Street 1:1393 GEORGE DIETER DR
Practice Address - Street 2:STE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7410
Practice Address - Country:US
Practice Address - Phone:915-598-8120
Practice Address - Fax:915-598-8121
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX713722363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care