Provider Demographics
NPI:1487869970
Name:FELTS, CHRISTIE A (ARNP-C)
Entity type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:A
Last Name:FELTS
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:MS
Other - First Name:CHRISTIE
Other - Middle Name:A
Other - Last Name:CREAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP-C
Mailing Address - Street 1:1840 MEASE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-6604
Mailing Address - Country:US
Mailing Address - Phone:727-724-8611
Mailing Address - Fax:727-724-0425
Practice Address - Street 1:1840 MEASE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-6602
Practice Address - Country:US
Practice Address - Phone:727-724-8611
Practice Address - Fax:727-712-0499
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3288792363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAJ133TMedicare PIN
FLP01775358Medicare PIN