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1134907637 NPI number — ELIZABETH VICTORIA MAECHLER APRN

NPI Number: 1134907637
Health Care Provider/Practitioner: ELIZABETH VICTORIA MAECHLER APRN

Information about “1134907637” NPI (ELIZABETH VICTORIA MAECHLER APRN) exists in 1134907637 in HTML format HTML  |  1134907637 in plain Text format TXT  |  1134907637 in PDF (Portable Document Format) PDF  |  1134907637 in an XML format XML  formats.

NPI Number : 1134907637 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134907637",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAECHLER",
    "FirstName": "ELIZABETH",
    "MiddleName": "VICTORIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SPENCER",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": "VICTORIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7900 DALLAS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT SMITH",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72903-5690",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-242-6647",
    "MailingAddressFaxNumber": "479-250-0505",
    "FirstLinePracticeLocationAddress": "7900 DALLAS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT SMITH",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72903-5690",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-242-6647",
    "PracticeLocationAddressFaxNumber": "479-250-0505",
    "EnumerationDate": "09/18/2023",
    "LastUpdateDate": "11/14/2024",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "200663",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "223995",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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