NPI Code Detail JSON Logo

1073680146 NPI number — MARIANNE HANNA WAHBA PA-C

NPI Number: 1073680146
Health Care Provider/Practitioner: MARIANNE HANNA WAHBA PA-C

Information about “1073680146” NPI (MARIANNE HANNA WAHBA PA-C) exists in 1073680146 in HTML format HTML  |  1073680146 in plain Text format TXT  |  1073680146 in PDF (Portable Document Format) PDF  |  1073680146 in an XML format XML  formats.

NPI Number : 1073680146 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073680146",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WAHBA",
    "FirstName": "MARIANNE",
    "MiddleName": "HANNA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HANNA",
    "OtherFirstName": "MARIANNE",
    "OtherMiddleName": "A.",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "500 SW 7TH ST STE A205",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98057-2983",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-222-1275",
    "MailingAddressFaxNumber": "509-491-3031",
    "FirstLinePracticeLocationAddress": "1215 120TH AVE NE STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELLEVUE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98005-2135",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-522-1275",
    "PracticeLocationAddressFaxNumber": "833-888-7145",
    "EnumerationDate": "11/30/2006",
    "LastUpdateDate": "03/13/2025",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "AP 2250",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA 60088178",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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