1346786498 NPI number — KAHRENANNE ALEGRE DY-PATACSIL APRN, NP-C

Table of content: KAHRENANNE ALEGRE DY-PATACSIL APRN, NP-C (NPI 1346786498)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346786498 NPI number — KAHRENANNE ALEGRE DY-PATACSIL APRN, NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DY-PATACSIL
Provider First Name:
KAHRENANNE
Provider Middle Name:
ALEGRE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN, NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DY-PATACSIL
Provider Other First Name:
KAHREN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
NP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1346786498
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6101 BLUE LAGOON DR STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33126-3168
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
725-231-9260
Provider Business Mailing Address Fax Number:
833-749-0364

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4813 S EASTERN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89119-6188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
725-231-9260
Provider Business Practice Location Address Fax Number:
833-749-0364
Provider Enumeration Date:
01/12/2017

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: 363LF0000X , with the licence number:  APRN002441 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com