Provider Demographics
NPI:1679178719
Name:FEEMAN, CORA ANN
Entity Type:Individual
Prefix:MRS
First Name:CORA
Middle Name:ANN
Last Name:FEEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CORA
Other - Middle Name:ANN
Other - Last Name:FEEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:318 BIRCH HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-8904
Mailing Address - Country:US
Mailing Address - Phone:740-464-8670
Mailing Address - Fax:
Practice Address - Street 1:318 BIRCH HOLLOW RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-8904
Practice Address - Country:US
Practice Address - Phone:740-464-8670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker