Provider Demographics
NPI:1447942321
Name:BEISLEY, FELECIA RHEA (LPN)
Entity type:Individual
Prefix:
First Name:FELECIA
Middle Name:RHEA
Last Name:BEISLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 SE AVONDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2502
Mailing Address - Country:US
Mailing Address - Phone:918-886-7102
Mailing Address - Fax:
Practice Address - Street 1:129 SE AVONDALE AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2502
Practice Address - Country:US
Practice Address - Phone:918-886-7102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL0067296164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty