Provider Demographics
NPI:1710308242
Name:FELTON HEALTH CARE SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:FELTON HEALTH CARE SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:FELTON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:206-948-0918
Mailing Address - Street 1:6837 29TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7236
Mailing Address - Country:US
Mailing Address - Phone:206-948-0918
Mailing Address - Fax:253-880-0896
Practice Address - Street 1:6837 29TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-7236
Practice Address - Country:US
Practice Address - Phone:206-948-0918
Practice Address - Fax:253-880-0896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004210363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty