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1043928245 NPI number — VANESSA RENEE SMITH CONSTANTINO FNP-C

NPI Number: 1043928245
Health Care Provider/Practitioner: VANESSA RENEE SMITH CONSTANTINO FNP-C

Information about “1043928245” NPI (VANESSA RENEE SMITH CONSTANTINO FNP-C) exists in 1043928245 in HTML format HTML  |  1043928245 in plain Text format TXT  |  1043928245 in PDF (Portable Document Format) PDF  |  1043928245 in an XML format XML  formats.

NPI Number : 1043928245 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043928245",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONSTANTINO",
    "FirstName": "VANESSA",
    "MiddleName": "RENEE SMITH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMITH",
    "OtherFirstName": "VANESSA",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "14065 MOONRIDGE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIVERSIDE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92503-9700",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-315-5126",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6926 BROCKTON AVE STE 8",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIVERSIDE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92506-3804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-414-7739",
    "PracticeLocationAddressFaxNumber": "844-682-0372",
    "EnumerationDate": "11/07/2022",
    "LastUpdateDate": "01/07/2026",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "NP95011060",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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