Provider Demographics
NPI:1740604461
Name:FEAGIN, RENAE
Entity Type:Individual
Prefix:
First Name:RENAE
Middle Name:
Last Name:FEAGIN
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 1:1612 PELHAM PL
Mailing Address - Street 2:APT 2
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-2009
Mailing Address - Country:US
Mailing Address - Phone:513-546-5357
Mailing Address - Fax:
Practice Address - Street 1:1612 PELHAM PL
Practice Address - Street 2:APT 2
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-2009
Practice Address - Country:US
Practice Address - Phone:513-546-5357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-17
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health