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Agnes R Felicano, NP
Family Nurse Practitioner in Grass Valley, California
NPI 1932413796

Agnes R Felicano is a Family Nurse Practitioner based in Grass Valley, CA and is specialized in Family. Agnes R Felicano practices in Grass Valley, CA and has the professional credentials of NP. The NPI Number for Agnes R Felicano is 1932413796 and holds a License No. NP13077 (California).

The current practice location address for Agnes R Felicano is 180 Sierra College Dr, Grass Valley, CA and can be reached out via phone at 530-460-2592.

Location: 180 Sierra College Dr, Grass Valley, CA, 95945-5768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932413796
Provider Name
Agnes R Felicano
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
180 Sierra College Dr, Grass Valley, CA, 95945-5768
Phone Number
530-460-2592
Fax Number
Provider Enumeration Date
08/03/2010
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP13077 01 CA NP13077
institution
Provider Business Practice Location Address Details
Address
180 Sierra College Dr
City
Grass Valley
State
California
Zip
95945-5768
Phone Number
530-460-2592
Fax Number
person
Provider Business Mailing Address Details
Address
180 Sierra College Dr
City
Grass Valley
State
California
Zip
95945-5768
Phone Number
530-460-2592
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP13077 (California)
Definition
Definition to come...
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