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1083710685 NPI number — MICHELLE ANN NEWTON R.N., APRN-BC

NPI Number: 1083710685
Health Care Provider/Practitioner: MICHELLE ANN NEWTON R.N., APRN-BC

Information about “1083710685” NPI (MICHELLE ANN NEWTON R.N., APRN-BC) exists in 1083710685 in HTML format HTML  |  1083710685 in plain Text format TXT  |  1083710685 in PDF (Portable Document Format) PDF  |  1083710685 in an XML format XML  formats.

NPI Number : 1083710685 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083710685",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NEWTON",
    "FirstName": "MICHELLE",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "R.N., APRN-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "412 E TRIPP RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUNNYVALE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75182-9545",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-803-0768",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "412 E TRIPP RD # 250",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUNNYVALE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75182-9545",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-699-1647",
    "PracticeLocationAddressFaxNumber": "214-387-1232",
    "EnumerationDate": "09/15/2006",
    "LastUpdateDate": "10/17/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "11/14/2020",
    "NPIReactivationDate": "02/11/2021",
    "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": "679483",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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