Provider Demographics
NPI:1528619392
Name:BURNS-YANIS, FELECIA MARIE
Entity type:Individual
Prefix:
First Name:FELECIA
Middle Name:MARIE
Last Name:BURNS-YANIS
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 1:4 CHURCH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540-1956
Mailing Address - Country:US
Mailing Address - Phone:774-289-2589
Mailing Address - Fax:
Practice Address - Street 1:4 CHURCH ST APT 5
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540-1956
Practice Address - Country:US
Practice Address - Phone:774-289-2589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-24
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker