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1023090446 NPI number — DIANA VAN PRECHT CROWE ARNP

NPI Number: 1023090446
Health Care Provider/Practitioner: DIANA VAN PRECHT CROWE ARNP

Information about “1023090446” NPI (DIANA VAN PRECHT CROWE ARNP) exists in 1023090446 in HTML format HTML  |  1023090446 in plain Text format TXT  |  1023090446 in PDF (Portable Document Format) PDF  |  1023090446 in an XML format XML  formats.

NPI Number : 1023090446 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023090446",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CROWE",
    "FirstName": "DIANA",
    "MiddleName": "VAN PRECHT",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "569 WATER OAK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLEMING ISLAND",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32003-4529",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-284-7897",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5126 TIMUQUANA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32210-8046",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-777-4228",
    "PracticeLocationAddressFaxNumber": "904-777-0012",
    "EnumerationDate": "11/20/2005",
    "LastUpdateDate": "09/01/2010",
    "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": "363LA2200X",
        "TaxonomyName": "Adult Health Nurse Practitioner",
        "LicenseNumber": "2211352",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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