Nieuwenhoff, Fawn Arlene

Nieuwenhoff, Fawn Arlene is an sole proprietor health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Nieuwenhoff, Fawn Arlene can be contacted via phone (727) 767-4147.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (727) 767-4147
Fax: (727) 767-8408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP1561332 Florida

Profile Details

NPI number 1427026509
LBN Legal business name Nieuwenhoff, Fawn Arlene
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Mar 2nd, 2018 - about 6 years ago

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 1427026509 NPPES
Florida MEDICAID 018819200

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