Provider Demographics
NPI:1053526822
Name:MCFEELEY, VANESSA HOPE (CRNP)
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:HOPE
Last Name:MCFEELEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:HOPE
Other - Last Name:PARAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:414 WATER ST
Mailing Address - Street 2:UNIT 2512
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3203
Mailing Address - Country:US
Mailing Address - Phone:410-979-9234
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:PHIPPS 121
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-614-0227
Practice Address - Fax:410-955-9126
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR171610363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily