Provider Demographics
NPI:1760983647
Name:FEEMSTER, MARIA LYNN (LVN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LYNN
Last Name:FEEMSTER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1248 GLENHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-4617
Mailing Address - Country:US
Mailing Address - Phone:325-762-6434
Mailing Address - Fax:
Practice Address - Street 1:1248 GLENHAVEN DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-4617
Practice Address - Country:US
Practice Address - Phone:325-762-6434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX137550164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse