Provider Demographics
NPI:1851656185
Name:FELKINS, ANTHONETTE ROSE (FNP BC)
Entity Type:Individual
Prefix:MRS
First Name:ANTHONETTE
Middle Name:ROSE
Last Name:FELKINS
Suffix:
Gender:F
Credentials:FNP BC
Other - Prefix:MRS
Other - First Name:ANTHONETTE
Other - Middle Name:ROSE
Other - Last Name:FELKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN FNP BC
Mailing Address - Street 1:4747 BELLAIRE BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4515
Mailing Address - Country:US
Mailing Address - Phone:713-622-1700
Mailing Address - Fax:713-877-0672
Practice Address - Street 1:9410 NE ZAC LENTZ PKWY STE 300
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3172
Practice Address - Country:US
Practice Address - Phone:361-575-4524
Practice Address - Fax:361-575-4534
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX147784163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse