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1083005532 NPI number — NICOLE MARIE DIBELLA CRNA

NPI Number: 1083005532
Health Care Provider/Practitioner: NICOLE MARIE DIBELLA CRNA

Information about “1083005532” NPI (NICOLE MARIE DIBELLA CRNA) exists in 1083005532 in HTML format HTML  |  1083005532 in plain Text format TXT  |  1083005532 in PDF (Portable Document Format) PDF  |  1083005532 in an XML format XML  formats.

NPI Number : 1083005532 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083005532",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIBELLA",
    "FirstName": "NICOLE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GULA",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7111 FAIRWAY DR STE 450",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM BEACH GARDENS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33418-4200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-623-2001",
    "MailingAddressFaxNumber": "865-347-5154",
    "FirstLinePracticeLocationAddress": "11375 CORTEZ BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKSVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34613-5409",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-596-6632",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/05/2015",
    "LastUpdateDate": "02/27/2020",
    "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": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "ARNP9270729",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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