Provider Demographics
NPI:1417716929
Name:NWEKE, FELISE ARMONI
Entity Type:Individual
Prefix:
First Name:FELISE
Middle Name:ARMONI
Last Name:NWEKE
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 1:9708 ENCHANTMENT LN
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95209-1966
Mailing Address - Country:US
Mailing Address - Phone:919-744-6656
Mailing Address - Fax:
Practice Address - Street 1:9708 ENCHANTMENT LN
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95209-1966
Practice Address - Country:US
Practice Address - Phone:919-744-6656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician