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1043505118 NPI number — ATMA KAUR KHALSA RN

NPI Number: 1043505118
Health Care Provider/Practitioner: ATMA KAUR KHALSA RN

Information about “1043505118” NPI (ATMA KAUR KHALSA RN) exists in 1043505118 in HTML format HTML  |  1043505118 in plain Text format TXT  |  1043505118 in PDF (Portable Document Format) PDF  |  1043505118 in an XML format XML  formats.

NPI Number : 1043505118 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043505118",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KHALSA",
    "FirstName": "ATMA",
    "MiddleName": "KAUR",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOGAMIER",
    "OtherFirstName": "JOSEPHINE",
    "OtherMiddleName": "MARY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "38207 CALLE CIPRES",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURRIETA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92562-9348",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-698-9422",
    "MailingAddressFaxNumber": "951-240-3405",
    "FirstLinePracticeLocationAddress": "38207 CALLE CIPRES",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MURRIETA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92562-9348",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-698-9422",
    "PracticeLocationAddressFaxNumber": "951-240-3405",
    "EnumerationDate": "06/16/2011",
    "LastUpdateDate": "05/04/2015",
    "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": "164X00000X",
          "TaxonomyName": "Licensed Vocational Nurse",
          "LicenseNumber": "255658",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Registered Nurse",
          "LicenseNumber": "847629",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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