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1083487805 NPI number — CHANISE CHRISTOPHER PMHNP

NPI Number: 1083487805
Health Care Provider/Practitioner: CHANISE CHRISTOPHER PMHNP

Information about “1083487805” NPI (CHANISE CHRISTOPHER PMHNP) exists in 1083487805 in HTML format HTML  |  1083487805 in plain Text format TXT  |  1083487805 in PDF (Portable Document Format) PDF  |  1083487805 in an XML format XML  formats.

NPI Number : 1083487805 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083487805",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHRISTOPHER",
    "FirstName": "CHANISE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PMHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3300 N TRIUMPH BLVD STE 500",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEHI",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84043-6475",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-821-2781",
    "MailingAddressFaxNumber": "801-901-1194",
    "FirstLinePracticeLocationAddress": "500 DISCOVERY PKWY STE 250",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUPERIOR",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80027-8762",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-712-0306",
    "PracticeLocationAddressFaxNumber": "720-302-1505",
    "EnumerationDate": "11/02/2023",
    "LastUpdateDate": "10/10/2025",
    "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": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "APN.1000919",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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