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1104184878 NPI number — KATHERINE JEAN COULTER DNP,APN,FNP-BC,MSN

NPI Number: 1104184878
Health Care Provider/Practitioner: KATHERINE JEAN COULTER DNP,APN,FNP-BC,MSN

Information about “1104184878” NPI (KATHERINE JEAN COULTER DNP,APN,FNP-BC,MSN) exists in 1104184878 in HTML format HTML  |  1104184878 in plain Text format TXT  |  1104184878 in PDF (Portable Document Format) PDF  |  1104184878 in an XML format XML  formats.

NPI Number : 1104184878 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104184878",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COULTER",
    "FirstName": "KATHERINE",
    "MiddleName": "JEAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DNP,APN,FNP-BC,MSN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PERIAN",
    "OtherFirstName": "KATHERINE",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "DNP,APN,FNP-BC,MSN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 78866",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILWAUKEE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53278-8866",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "779-696-7150",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "380 E IL ROUTE 38",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCHELLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61068-9694",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "779-696-9050",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/01/2012",
    "LastUpdateDate": "03/03/2021",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "209009522",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "277-000567",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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