Provider Demographics
NPI:1235785403
Name:FELSING, ANGELA MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:FELSING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:WALCOTT
Mailing Address - State:IA
Mailing Address - Zip Code:52773-7759
Mailing Address - Country:US
Mailing Address - Phone:563-579-0333
Mailing Address - Fax:
Practice Address - Street 1:616 35TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-6158
Practice Address - Country:US
Practice Address - Phone:309-764-4729
Practice Address - Fax:309-764-7144
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-14
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH156091363L00000X
IL209.020061363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner