Provider Demographics
NPI:1417445016
Name:FELTGEN, MAGGIE
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:FELTGEN
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:PO BOX 2341
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69363-2341
Mailing Address - Country:US
Mailing Address - Phone:308-633-9200
Mailing Address - Fax:
Practice Address - Street 1:10245 COUNTY ROAD C
Practice Address - Street 2:
Practice Address - City:HENRY
Practice Address - State:NE
Practice Address - Zip Code:69358-1809
Practice Address - Country:US
Practice Address - Phone:308-633-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-29
Last Update Date:2018-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care