NPI Code Detail JSON Logo

1003068990 NPI number — CHERYL ANNE FRASER NP

NPI Number: 1003068990
Health Care Provider/Practitioner: CHERYL ANNE FRASER NP

Information about “1003068990” NPI (CHERYL ANNE FRASER NP) exists in 1003068990 in HTML format HTML  |  1003068990 in plain Text format TXT  |  1003068990 in PDF (Portable Document Format) PDF  |  1003068990 in an XML format XML  formats.

NPI Number : 1003068990 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003068990",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FRASER",
    "FirstName": "CHERYL",
    "MiddleName": "ANNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8705 TARRYTOWN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANASSAS",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20109-4826",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-369-3080",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3300 GALLOWS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FALLS CHURCH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22042-3307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-776-4132",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/22/2008",
    "LastUpdateDate": "10/22/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "0024167656",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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