MS. AWILDA MARRERO LABONNE PA-C NPI 1114986593

NPI Information

NPI: 1114986593
Provider Name: MS. AWILDA MARRERO LABONNE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: AWILDA MARRERO LABONNE PLLC

PECOS Registration: Yes

Address:
13 W KENT ST STE 103
CHATTANOOGA, TN
ZIP 37405
Phone: (423) 648-2273
Get Directions

MS. Awilda Marrero Labonne, PA-C is a medical physician assistant in Chattanooga, TN with 24 years of experience. MS. Awilda Marrero Labonne, PA-C NPI is 1114986593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13 W KENT ST STE 103
CHATTANOOGA, TN
ZIP 37405-913
Phone: (423) 648-2273
Fax: (423) 206-4625

The NPI 1114986593 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 12/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		03307	TENNESSEE	No
2	363AM0700X	Physician Assistant	Medical	03307	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	363AMO700X	OTHER	ILLINOIS	TAXONOMY
2	ML1369847	OTHER		DEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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