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Contact Information

VICTORIA M FELLENZ
2510 MARYLAND RD STE 160
WILLOW GROVE, PA19090-1137
 Phone: 215-672-8015
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for VICTORIA M FELLENZ · (Female)

NPI Number 1669084992
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2020
Last updated 01/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RN627523
  • PA License # SP023032
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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