1881115467 NPI number — DELOURDES LOUIHIS REGISTERED NURSE

Table of content: DELOURDES LOUIHIS REGISTERED NURSE (NPI 1881115467)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881115467 NPI number — DELOURDES LOUIHIS REGISTERED NURSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOUIHIS
Provider First Name:
DELOURDES
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
REGISTERED NURSE
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:
1881115467
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/04/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1265 SW 101ST TER APT 211
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PEMBROKE PINES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33025-5048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-600-7401
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1265 SW 101ST TER
Provider Second Line Business Practice Location Address:
APT. 211
Provider Business Practice Location Address City Name:
PEMBROKE PINES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33025-3302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-600-7401
Provider Business Practice Location Address Fax Number:
305-600-7401
Provider Enumeration Date:
07/04/2017

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: 163WH0200X , with the licence number:  9457217 , 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)





Copyright © 2007-2024 www.npivalidator.com