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1124488309 NPI number — MIRELA LIANA MOGA NP

NPI Number: 1124488309
Health Care Provider/Practitioner: MIRELA LIANA MOGA NP

Information about “1124488309” NPI (MIRELA LIANA MOGA NP) exists in 1124488309 in HTML format HTML  |  1124488309 in plain Text format TXT  |  1124488309 in PDF (Portable Document Format) PDF  |  1124488309 in an XML format XML  formats.

NPI Number : 1124488309 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124488309",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOGA",
    "FirstName": "MIRELA",
    "MiddleName": "LIANA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PLATONA",
    "OtherFirstName": "MIRELA",
    "OtherMiddleName": "LIANA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "16859 W TONBRIDGE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SURPRISE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85374-0832",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "623-544-1539",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1800 E VAN BUREN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85006-3742",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-251-8624",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/01/2016",
    "LastUpdateDate": "03/01/2016",
    "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": "AP8459",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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