Provider Demographics
NPI:1871362863
Name:FELTNER, RHIANNON MARIE
Entity type:Individual
Prefix:
First Name:RHIANNON
Middle Name:MARIE
Last Name:FELTNER
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 1:15 MAPLE VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:KY
Mailing Address - Zip Code:41001-9679
Mailing Address - Country:US
Mailing Address - Phone:859-512-1220
Mailing Address - Fax:
Practice Address - Street 1:15 MAPLE VALLEY LN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:KY
Practice Address - Zip Code:41001-9679
Practice Address - Country:US
Practice Address - Phone:859-512-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN388491163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse