NNENNA EMELLE


Address: 1818 Van Allen Loop, Auburndale, FL 33823-2770
Phone: 8633976581

NNENNA EMELLE (NPI# 1770934127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770934127
Entity Type Individual
Full Name NNENNA EMELLE
Practice Address 1818 Van Allen Loop
Auburndale
FL 33823-2770
Practice Telephone 8633976581
Mailing Telephone 8633976581
Enumeration Date 2016-06-27
Last Update Date 2016-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
ARNP 9280839 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1818 VAN ALLEN LOOP
City AUBURNDALE
State FL
Zip Code 33823-2770

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NPI Name Taxonomy Address Enumeration
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1285092916 Kimberley Lawrence Behavioral Analyst 202 Howard Street, #3, Auburndale, FL 33823 2016-02-09
1255670568 Richard Merle Carlson Occupational Therapist 5245 North Socrum Loop Road, Lakeland, FL 33823 2013-02-06
1619108461 Hughes Transportation Inc Non-emergency Medical Transport (VAN) 215 East Bridges Avenue, Auburndale, FL 33823 2009-07-28
1477698504 Jon Larry Barber Optometrist 2120 West Highway 92, Attn Vision Center, Auburndale, FL 33823 2007-02-20
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City AUBURNDALE
Zip Code 33823

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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