Provider Demographics
NPI:1417542507
Name:UTSEY, FELICIA DIONE
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:DIONE
Last Name:UTSEY
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 1:2916 PANHANDLE DR
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126-2259
Mailing Address - Country:US
Mailing Address - Phone:682-552-6816
Mailing Address - Fax:
Practice Address - Street 1:2916 PANHANDLE DR
Practice Address - Street 2:
Practice Address - City:HEARTLAND
Practice Address - State:TX
Practice Address - Zip Code:75126-2259
Practice Address - Country:US
Practice Address - Phone:682-552-6816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health