Provider Demographics
NPI:1922290113
Name:FELAN, GLADYS SILVA (RN MSN CPUR)
Entity Type:Individual
Prefix:MRS
First Name:GLADYS
Middle Name:SILVA
Last Name:FELAN
Suffix:
Gender:F
Credentials:RN MSN CPUR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 VERMONT AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20420-0001
Mailing Address - Country:US
Mailing Address - Phone:202-461-4086
Mailing Address - Fax:202-501-2096
Practice Address - Street 1:1575 I STREET NW
Practice Address - Street 2:SUITE 622
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20420-0001
Practice Address - Country:US
Practice Address - Phone:202-461-4086
Practice Address - Fax:202-501-2196
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR012444163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator