Provider Demographics
NPI:1922218262
Name:MCFEELEY, CHARLENE MAE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:MAE
Last Name:MCFEELEY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:223 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAVIDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15928-9501
Mailing Address - Country:US
Mailing Address - Phone:814-270-0733
Mailing Address - Fax:814-266-0177
Practice Address - Street 1:1450 SCALP AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3374
Practice Address - Country:US
Practice Address - Phone:814-266-8466
Practice Address - Fax:814-266-0177
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP005712B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA034055Medicare PIN