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1144407883 NPI number — MEGAN E MUNSEY CRNA

NPI Number: 1144407883
Health Care Provider/Practitioner: MEGAN E MUNSEY CRNA

Information about “1144407883” NPI (MEGAN E MUNSEY CRNA) exists in 1144407883 in HTML format HTML  |  1144407883 in plain Text format TXT  |  1144407883 in PDF (Portable Document Format) PDF  |  1144407883 in an XML format XML  formats.

NPI Number : 1144407883 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144407883",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUNSEY",
    "FirstName": "MEGAN",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MALLORY",
    "OtherFirstName": "MEGAN",
    "OtherMiddleName": "E",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1613 NORTH HARRISON PKWY",
    "SecondLineMailingAddress": "SUITE 200, MAILSTOP SH 9",
    "MailingAddressCityName": "SUNRISE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33323",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-838-2371",
    "MailingAddressFaxNumber": "954-616-3879",
    "FirstLinePracticeLocationAddress": "1000 MAR WALT DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WALTON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32547",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-862-1111",
    "PracticeLocationAddressFaxNumber": "954-851-1746",
    "EnumerationDate": "01/24/2008",
    "LastUpdateDate": "04/11/2016",
    "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": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "1-102865",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "ARNP9316699",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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