NPI Code Detail JSON Logo

1003289018 NPI number — TRACEY NOEL CIESLAK RN

NPI Number: 1003289018
Health Care Provider/Practitioner: TRACEY NOEL CIESLAK RN

Information about “1003289018” NPI (TRACEY NOEL CIESLAK RN) exists in 1003289018 in HTML format HTML  |  1003289018 in plain Text format TXT  |  1003289018 in PDF (Portable Document Format) PDF  |  1003289018 in an XML format XML  formats.

NPI Number : 1003289018 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003289018",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CIESLAK",
    "FirstName": "TRACEY",
    "MiddleName": "NOEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24867 MAGNOLIA CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILLSBORO",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19966-7538",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-596-8191",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "424 SAVANNAH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEWES",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19958-1462",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-645-3300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/12/2015",
    "LastUpdateDate": "11/12/2015",
    "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": "282N00000X",
        "TaxonomyName": "General Acute Care Hospital",
        "LicenseNumber": "0012149",
        "LicenseNumberStateCode": "DE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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