Provider Demographics
NPI:1750742961
Name:FELICE, VIRGINIA (ARNP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:FELICE
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 1:23 CATAWBA ST APT A
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1023
Mailing Address - Country:US
Mailing Address - Phone:617-458-2273
Mailing Address - Fax:
Practice Address - Street 1:23 CATAWBA ST APT A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1023
Practice Address - Country:US
Practice Address - Phone:617-458-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008405363LG0600X
MANP145424363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology