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1003529173 NPI number — RAQUEL STELZER APRN

NPI Number: 1003529173
Health Care Provider/Practitioner: RAQUEL STELZER APRN

Information about “1003529173” NPI (RAQUEL STELZER APRN) exists in 1003529173 in HTML format HTML  |  1003529173 in plain Text format TXT  |  1003529173 in PDF (Portable Document Format) PDF  |  1003529173 in an XML format XML  formats.

NPI Number : 1003529173 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003529173",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STELZER",
    "FirstName": "RAQUEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "163 ANTIGUA WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PONTE VEDRA BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32082-1201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "321-501-1209",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1631 RACE TRACK RD",
    "SecondLinePracticeLocationAddress": "#101",
    "PracticeLocationAddressCityName": "FRUIT COVE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32259",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-230-7977",
    "PracticeLocationAddressFaxNumber": "904-230-7979",
    "EnumerationDate": "01/03/2023",
    "LastUpdateDate": "01/03/2023",
    "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": "363LP0200X",
        "TaxonomyName": "Pediatric Nurse Practitioner",
        "LicenseNumber": "APRN11017163",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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