1407002827 NPI number — MRS. NELIDA AMARANTE LOUDEN M.S.

Table of content: MRS. NELIDA AMARANTE LOUDEN M.S. (NPI 1407002827)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407002827 NPI number — MRS. NELIDA AMARANTE LOUDEN M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOUDEN
Provider First Name:
NELIDA
Provider Middle Name:
AMARANTE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
AMARANTE
Provider Other First Name:
NELIDA
Provider Other Middle Name:
MARA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1407002827
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 SUNNYHILLS DR
Provider Second Line Business Mailing Address:
SUNNY HILLS SERVICES
Provider Business Mailing Address City Name:
SAN ANSELMO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94960-1909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-457-3200
Provider Business Mailing Address Fax Number:
415-457-3200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 SUNNYHILLS DR
Provider Second Line Business Practice Location Address:
SUNNY HILLS SERVICES
Provider Business Practice Location Address City Name:
SAN ANSELMO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94960-1909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-457-3200
Provider Business Practice Location Address Fax Number:
415-457-3200
Provider Enumeration Date:
08/18/2008

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: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 106H00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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