1851432868 NPI number — MARY LYNN FELLENZ OTR

Table of content: MARY LYNN FELLENZ OTR (NPI 1851432868)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851432868 NPI number — MARY LYNN FELLENZ OTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FELLENZ
Provider First Name:
MARY
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
OTR
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:
1851432868
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/19/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6593 AUTUMN WOODS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NAPLES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34109-7801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
239-641-2622
Provider Business Mailing Address Fax Number:
239-594-7912

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5691 NAPLES BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAPLES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34109-2023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-592-6100
Provider Business Practice Location Address Fax Number:
239-592-6156
Provider Enumeration Date:
02/11/2007

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: 225X00000X , with the licence number:  OT 7400 , 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: 884324400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".