1841579216 NPI number — MRS. MARTHA MICHELE SOSANGELIS NURSE PRACTITIONER

Table of content: MRS. MARTHA MICHELE SOSANGELIS NURSE PRACTITIONER (NPI 1841579216)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841579216 NPI number — MRS. MARTHA MICHELE SOSANGELIS NURSE PRACTITIONER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SOSANGELIS
Provider First Name:
MARTHA
Provider Middle Name:
MICHELE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NURSE PRACTITIONER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SOSANGELIS
Provider Other First Name:
MARTHA
Provider Other Middle Name:
MICHELE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
NURSE PRACTITIONER
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841579216
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
511 W 8TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19801-1449
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-577-3521
Provider Business Mailing Address Fax Number:
302-577-6594

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
511 W 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19801-1449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-577-3521
Provider Business Practice Location Address Fax Number:
302-577-6594
Provider Enumeration Date:
08/16/2011

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: 363LW0102X , with the licence number:  LH-0000117 , registered in the state of DE ; 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