Provider Demographics
NPI:1538493168
Name:FELTHAM, GERILYN ANN (FNP)
Entity type:Individual
Prefix:MS
First Name:GERILYN
Middle Name:ANN
Last Name:FELTHAM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5211
Mailing Address - Country:US
Mailing Address - Phone:516-537-9063
Mailing Address - Fax:516-727-1732
Practice Address - Street 1:243 MERRICK RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5211
Practice Address - Country:US
Practice Address - Phone:516-537-9063
Practice Address - Fax:516-726-1732
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335957-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily