| NPI | 1700544293 | 
|---|---|
| Former Name | AMY DELANO FELGENHOUER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-141165)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-141165)  | 
| Enumeration Date | 2021-12-02 | 
| Last Update Date | 2025-03-24 |