Labonne, Awilda Marrero

Labonne, Awilda Marrero is an sole proprietor health care provider with primary practice located at 13 W Kent St Ste 103 , Chattanooga TN 37405-9913. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Labonne, Awilda Marrero can be contacted via phone (423) 648-2273.

Contact Information

Primary practice address
13 W Kent St Ste 103 Chattanooga TN 37405-9913
Phone: (423) 648-2273
Fax: (423) 206-4625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 03307 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 03307 Tennessee

Profile Details

NPI number 1114986593
LBN Legal business name Labonne, Awilda Marrero
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114986593 NPPES
Illinois Other 363AMO700X TAXONOMY

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