1609037894 NPI number — MISS NELLIE RUTH KAY - DELAROSA R.N.

Table of content: MRS. CATHERINE RANDELL FORREST M.A., L.L.P. (NPI 1790835890)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609037894 NPI number — MISS NELLIE RUTH KAY - DELAROSA R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAY - DELAROSA
Provider First Name:
NELLIE
Provider Middle Name:
RUTH
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
R.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KAY - DELAROSA
Provider Other First Name:
NELLIE
Provider Other Middle Name:
RUTH
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
R.N.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1609037894
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18955 N MEMORIAL DR
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
HUMBLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77338-4271
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-540-8779
Provider Business Mailing Address Fax Number:
281-540-8798

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18955 N MEMORIAL DR
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
HUMBLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77338-4271
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-540-8779
Provider Business Practice Location Address Fax Number:
281-540-8798
Provider Enumeration Date:
06/19/2008

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: 163W00000X , with the licence number:  666916 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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