1013234293 NPI number — MRS. ALBERTA MARIA MESSER ARNP

Table of content: MRS. ALBERTA MARIA MESSER ARNP (NPI 1013234293)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013234293 NPI number — MRS. ALBERTA MARIA MESSER ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MESSER
Provider First Name:
ALBERTA
Provider Middle Name:
MARIA
Provider Name Prefix Text:
MRS.
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:
LONGONE MESSER
Provider Other First Name:
ALBERTA
Provider Other Middle Name:
MARIA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
ARNP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1013234293
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 85
Provider Second Line Business Mailing Address:
22 ISLAND VIEW DRIVE
Provider Business Mailing Address City Name:
WAYNE
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04284-0085
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-649-0436
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4811 HOLLYWOOD BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-649-0436
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2010

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: 363LP0200X , with the licence number:  2768892 , 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)





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