Provider Demographics
NPI:1124314232
Name:MCFEE, PHILOMEN ANABELLE (RN)
Entity type:Individual
Prefix:MS
First Name:PHILOMEN
Middle Name:ANABELLE
Last Name:MCFEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 JOHNSON RD
Mailing Address - Street 2:45E
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-2861
Mailing Address - Country:US
Mailing Address - Phone:718-413-6448
Mailing Address - Fax:888-411-4540
Practice Address - Street 1:225 JOHNSON RD
Practice Address - Street 2:45E
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2861
Practice Address - Country:US
Practice Address - Phone:718-413-6448
Practice Address - Fax:888-411-4540
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN202230163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent