Provider Demographics
NPI:1720714918
Name:FELTS, BRIANNE RAE (ARNP)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:RAE
Last Name:FELTS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 STARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:IA
Mailing Address - Zip Code:51024-8842
Mailing Address - Country:US
Mailing Address - Phone:712-898-0051
Mailing Address - Fax:
Practice Address - Street 1:801 5TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1326
Practice Address - Country:US
Practice Address - Phone:712-279-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA169921363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily