NPI Code Detail JSON Logo

1043702335 NPI number — AMANDA ARNOLD CPNP-PC

NPI Number: 1043702335
Health Care Provider/Practitioner: AMANDA ARNOLD CPNP-PC

Information about “1043702335” NPI (AMANDA ARNOLD CPNP-PC) exists in 1043702335 in HTML format HTML  |  1043702335 in plain Text format TXT  |  1043702335 in PDF (Portable Document Format) PDF  |  1043702335 in an XML format XML  formats.

NPI Number : 1043702335 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043702335",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ARNOLD",
    "FirstName": "AMANDA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPNP-PC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "670 MALL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTAGE",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49024-2878",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-350-8434",
    "MailingAddressFaxNumber": "269-350-8435",
    "FirstLinePracticeLocationAddress": "670 MALL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTAGE",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49024-2878",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-350-8434",
    "PracticeLocationAddressFaxNumber": "269-350-8435",
    "EnumerationDate": "06/01/2018",
    "LastUpdateDate": "09/21/2026",
    "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": "4704340093",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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