Provider Demographics
NPI:1215572680
Name:FELIX, DOROTHY I (CPR INSTRUCTOR)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:I
Last Name:FELIX
Suffix:
Gender:F
Credentials:CPR INSTRUCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14700 ELBERFELD CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-8966
Mailing Address - Country:US
Mailing Address - Phone:240-521-9180
Mailing Address - Fax:
Practice Address - Street 1:14700 ELBERFELD CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-8966
Practice Address - Country:US
Practice Address - Phone:240-521-9180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP54194164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse