Provider / Organization | NPI | Date Certified |
---|---|---|
FELICIA RENEE MC MULLEN | 1669841904 | 2023-02-12 |
Felicia Renee Mc Mullen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669841904. Registration indicates Felicia Renee Mc Mullen is a provider of access to ob/gyn services with a specialization in Other Service Providers, Midwife (Other Service Providers, Midwife) (Midwife, ) (All Other Specialties & Provider Types, ) (Midwife, Other Service Providers) Access to OB/GYN (Other Service Providers, Midwife) (Other Service Providers, Midwife) (Midwife, ) (All Other Specialties & Provider Types, ) (Midwife, Other Service Providers)
Entity Type | Individual |
Provider Name | Felicia Renee Mc Mullen CPM, LDEM |
Other Provider Name | Trusting Hands Midwifery |
Practice Office Address | 3235 CHESTER GROVE RD UPPR MARLBORO UPPER MARLBORO, MD US |
Practice Office Telephone | 2402294662 |
Practice Office Fax | 2402443361 |
Mailing Address | 4427 RENA RD APT 2 SUITLAND, MD 207463619 US |
Business Telephone | 2402294662 |
Business Fax | 2402443361 |
Code | Practice | License No State |
---|---|---|
176B00000X | Access to OB/GYN Other Service Providers Midwife Other Service Providers Midwife Midwife All Other Specialties & Provider Types Midwife Other Service Providers | 176B00000X
VA |
176B00000X PRIMARY | Access to OB/GYN Other Service Providers Midwife Other Service Providers Midwife Midwife All Other Specialties & Provider Types Midwife Other Service Providers | DEM00038
MD |