Provider Demographics
NPI:1225562994
Name:SPRINGS-FRESTON, FELECIA
Entity Type:Individual
Prefix:
First Name:FELECIA
Middle Name:
Last Name:SPRINGS-FRESTON
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 1:403 WILLIAM ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5839
Mailing Address - Country:US
Mailing Address - Phone:540-370-8232
Mailing Address - Fax:540-370-8671
Practice Address - Street 1:403 WILLIAM ST
Practice Address - Street 2:SUITE C
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5839
Practice Address - Country:US
Practice Address - Phone:540-370-8232
Practice Address - Fax:540-370-8671
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171441251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health