Provider Demographics
NPI:1851391668
Name:FELTON, STEVEN CHARLES (ARNP)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:CHARLES
Last Name:FELTON
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00086816163W00000X
WAAP3004210363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
G8801320Medicare PIN
WA8859465Medicare PIN
S39214Medicare UPIN