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1083128128 NPI number — CAITLIN PHAM FNP

NPI Number: 1083128128
Health Care Provider/Practitioner: CAITLIN PHAM FNP

Information about “1083128128” NPI (CAITLIN PHAM FNP) exists in 1083128128 in HTML format HTML  |  1083128128 in plain Text format TXT  |  1083128128 in PDF (Portable Document Format) PDF  |  1083128128 in an XML format XML  formats.

NPI Number : 1083128128 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083128128",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PHAM",
    "FirstName": "CAITLIN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LAWSON",
    "OtherFirstName": "CAITLIN",
    "OtherMiddleName": "CLAIRE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "325 DISTEL CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ALTOS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94022-1408",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "701 E EL CAMINO REAL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNTAIN VIEW",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94040-2833",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-934-7150",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/28/2017",
    "LastUpdateDate": "01/11/2022",
    "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": "95007445",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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