1275623258 NPI number — MS. HOPE F SYLVAIN ANP

Table of content: MS. HOPE F SYLVAIN ANP (NPI 1275623258)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275623258 NPI number — MS. HOPE F SYLVAIN ANP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SYLVAIN
Provider First Name:
HOPE
Provider Middle Name:
F
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ANP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275623258
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2421 SILVER STREAM LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28401-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-395-3477
Provider Business Mailing Address Fax Number:
910-815-3479

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2421 SILVER STREAM LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28401-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-395-3477
Provider Business Practice Location Address Fax Number:
910-815-3479
Provider Enumeration Date:
10/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  900111 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00420437 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".