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1043654866 NPI number — ANGELYN NIENHUSER PLMHP

NPI Number: 1043654866
Health Care Provider/Practitioner: ANGELYN NIENHUSER PLMHP

Information about “1043654866” NPI (ANGELYN NIENHUSER PLMHP) exists in 1043654866 in HTML format HTML  |  1043654866 in plain Text format TXT  |  1043654866 in PDF (Portable Document Format) PDF  |  1043654866 in an XML format XML  formats.

NPI Number : 1043654866 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043654866",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NIENHUSER",
    "FirstName": "ANGELYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PLMHP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NIENHUSER",
    "OtherFirstName": "ANGELYN",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PLMHP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1905 MAPLE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIDNEY",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "69162-1835",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "308-249-5520",
    "MailingAddressFaxNumber": "308-254-4949",
    "FirstLinePracticeLocationAddress": "1500 10TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SIDNEY",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "69162-2275",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-249-5520",
    "PracticeLocationAddressFaxNumber": "308-254-4949",
    "EnumerationDate": "04/23/2013",
    "LastUpdateDate": "04/23/2013",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "9862",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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