1831230564 NPI number — MS. DELCORA HOWELL ARNP

Table of content: MS. DELCORA HOWELL ARNP (NPI 1831230564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831230564 NPI number — MS. DELCORA HOWELL ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWELL
Provider First Name:
DELCORA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOWELL
Provider Other First Name:
DELCORA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
ARNP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1831230564
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1745 STATE ROAD 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MELROSE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32666-3146
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-478-2471
Provider Business Mailing Address Fax Number:
352-478-2496

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1745 STATE ROAD 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MELROSE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32666-3146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-478-2471
Provider Business Practice Location Address Fax Number:
352-478-2496
Provider Enumeration Date:
02/08/2007

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: 363LF0000X , with the licence number:  ARNP 780412 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3014690 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: ARNP780412 . This is a "LICENSE" identifier . This identifiers is of the category "OTHER".