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1033878764 NPI number — JANAE RUIZ MSN,RN,APRN

NPI Number: 1033878764
Health Care Provider/Practitioner: JANAE RUIZ MSN,RN,APRN

Information about “1033878764” NPI (JANAE RUIZ MSN,RN,APRN) exists in 1033878764 in HTML format HTML  |  1033878764 in plain Text format TXT  |  1033878764 in PDF (Portable Document Format) PDF  |  1033878764 in an XML format XML  formats.

NPI Number : 1033878764 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033878764",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUIZ",
    "FirstName": "JANAE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSN,RN,APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DYRENG",
    "OtherFirstName": "JANAE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSN,RN,APRN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "664 N 960 E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OREM",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84097-4296",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "435-299-2323",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "146 S STATE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINDON",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84042-2030",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "435-299-2323",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/09/2021",
    "LastUpdateDate": "12/09/2021",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "10444859-3102",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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