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1114594371 NPI number — CHRISTINE ANNE PERRY CRNA

NPI Number: 1114594371
Health Care Provider/Practitioner: CHRISTINE ANNE PERRY CRNA

Information about “1114594371” NPI (CHRISTINE ANNE PERRY CRNA) exists in 1114594371 in HTML format HTML  |  1114594371 in plain Text format TXT  |  1114594371 in PDF (Portable Document Format) PDF  |  1114594371 in an XML format XML  formats.

NPI Number : 1114594371 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114594371",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERRY",
    "FirstName": "CHRISTINE",
    "MiddleName": "ANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MULKERN",
    "OtherFirstName": "CHRISTINE",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5000 FOREST DR APT 3305",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29206-6507",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-612-2385",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5 RICHLAND MEDICAL PARK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29203-6863",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-612-2385",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/07/2021",
    "LastUpdateDate": "12/31/2025",
    "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": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "7199",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN.1658770",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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