Provider Demographics
NPI:1457605842
Name:PHILPOT, HONEY B (STNA)
Entity type:Individual
Prefix:
First Name:HONEY
Middle Name:B
Last Name:PHILPOT
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 OMALLEY DR
Mailing Address - Street 2:#203
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-7518
Mailing Address - Country:US
Mailing Address - Phone:216-855-6307
Mailing Address - Fax:
Practice Address - Street 1:800 OMALLEY DR
Practice Address - Street 2:#203
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-7518
Practice Address - Country:US
Practice Address - Phone:216-855-6307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401374930412376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide