1659473387 NPI number — KATHLEEN E PISCANI RN CNS APRN

Table of content: KATHLEEN E PISCANI RN CNS APRN (NPI 1659473387)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659473387 NPI number — KATHLEEN E PISCANI RN CNS APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PISCANI
Provider First Name:
KATHLEEN
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN CNS APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FOLKERTS
Provider Other First Name:
KATHLEEN
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659473387
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5055
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAY PINES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33774-5005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-398-6661
Provider Business Mailing Address Fax Number:
727-398-9515

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14360 IROQUOIS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LARGO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33774-4405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-398-6661
Provider Business Practice Location Address Fax Number:
727-398-9515
Provider Enumeration Date:
09/02/2006

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: 364SP0808X , with the licence number:  3029002 , 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: 3029002 . This is a "RN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com