Provider Demographics
NPI:1922215912
Name:FELT, CATHERINE E (FNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:FELT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4609 SIMON RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3932
Mailing Address - Country:US
Mailing Address - Phone:302-764-7043
Mailing Address - Fax:
Practice Address - Street 1:777 DELAWARE PARK BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-4122
Practice Address - Country:US
Practice Address - Phone:302-994-3166
Practice Address - Fax:302-994-8710
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG0000270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily