Provider Demographics
NPI:1689444614
Name:FELTON, ANGELA C (CHW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:C
Last Name:FELTON
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 E TOWNSEND RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:MI
Mailing Address - Zip Code:48879-9036
Mailing Address - Country:US
Mailing Address - Phone:989-287-1840
Mailing Address - Fax:
Practice Address - Street 1:1307 E TOWNSEND RD
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:MI
Practice Address - Zip Code:48879-9036
Practice Address - Country:US
Practice Address - Phone:989-287-1840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator