Provider Demographics
NPI:1689924854
Name:FEELEY, MARY O'HALLORAN (RN ANP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:O'HALLORAN
Last Name:FEELEY
Suffix:
Gender:F
Credentials:RN ANP
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Mailing Address - Street 1:4802 TENTH AVE
Mailing Address - Street 2:MAIMONIDES MED CTR DEPT OF MEDICINE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219
Mailing Address - Country:US
Mailing Address - Phone:718-283-7667
Mailing Address - Fax:718-635-7439
Practice Address - Street 1:4802 TENTH AVE
Practice Address - Street 2:MAIMONIDES MED CTR DEPT OF MEDICINE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219
Practice Address - Country:US
Practice Address - Phone:718-283-7667
Practice Address - Fax:718-635-7439
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF306144-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health