Provider Demographics
NPI:1770110439
Name:WARD, FELICIA (CNA)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 SARLEE DR
Mailing Address - Street 2:
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-6257
Mailing Address - Country:US
Mailing Address - Phone:409-526-5268
Mailing Address - Fax:
Practice Address - Street 1:209 SARLEE DR
Practice Address - Street 2:
Practice Address - City:LA MARQUE
Practice Address - State:TX
Practice Address - Zip Code:77568-6257
Practice Address - Country:US
Practice Address - Phone:409-526-5268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health