Provider Demographics
NPI:1043062318
Name:FELDER, ANTOINETTE
Entity type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:
Last Name:FELDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12381 LOG POST CT APT G
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6551
Mailing Address - Country:US
Mailing Address - Phone:314-458-3988
Mailing Address - Fax:
Practice Address - Street 1:12381 LOG POST CT APT G
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6551
Practice Address - Country:US
Practice Address - Phone:314-458-3988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-02
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula