Provider Demographics
NPI:1699957597
Name:ANUNOBY, FELICIA EKWUTOSI (FNP)
Entity type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:EKWUTOSI
Last Name:ANUNOBY
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:600 W MORRISON ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:FAYETTE
Mailing Address - State:MO
Mailing Address - Zip Code:65248-1075
Mailing Address - Country:US
Mailing Address - Phone:660-248-2900
Mailing Address - Fax:660-248-1544
Practice Address - Street 1:600 W MORRISON ST
Practice Address - Street 2:SUITE 5
Practice Address - City:FAYETTE
Practice Address - State:MO
Practice Address - Zip Code:65248-1075
Practice Address - Country:US
Practice Address - Phone:660-248-2900
Practice Address - Fax:660-248-1544
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2011-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO150604363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily