Basic Information
| Provider Information | |||||||||
| NPI: | 1790900843 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FELTEN | ||||||||
| FirstName: | NATALEE | ||||||||
| MiddleName: | HELENE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PHARMD, BCPS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2121 MARKET ST | ||||||||
| Address2: | APT 407 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191031305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702628474 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1601 CHERRY ST | ||||||||
| Address2: | SUITE 1700 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191021321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2152821600 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | RP438545 | PA | Y | Pharmacy Service Providers | Pharmacist | 183500000X | 14774 | AZ | N | Pharmacy Service Providers | Pharmacist | 183500000X | 0000026381 | TN | N | Pharmacy Service Providers | Pharmacist |
No ID Information.