Provider Demographics
NPI:1952637621
Name:BATSON, FELISA KAY (RN)
Entity Type:Individual
Prefix:
First Name:FELISA
Middle Name:KAY
Last Name:BATSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B CO 121 CSH UNIT 15244 BOX 042
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205-5244
Mailing Address - Country:US
Mailing Address - Phone:0108-217-3319
Mailing Address - Fax:
Practice Address - Street 1:BRIAN ALLGOOD ARMY COMMUNITY HSP
Practice Address - Street 2:PREVENTIVE MEDICINE ATTN: CPT BATSON
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205
Practice Address - Country:US
Practice Address - Phone:315-737-3203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN144277163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health