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1154518397 NPI number — CHRISTINE RENEE MULFORD FNP

NPI Number: 1154518397
Health Care Provider/Practitioner: CHRISTINE RENEE MULFORD FNP

Information about “1154518397” NPI (CHRISTINE RENEE MULFORD FNP) exists in 1154518397 in HTML format HTML  |  1154518397 in plain Text format TXT  |  1154518397 in PDF (Portable Document Format) PDF  |  1154518397 in an XML format XML  formats.

NPI Number : 1154518397 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154518397",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MULFORD",
    "FirstName": "CHRISTINE",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCFARLANE",
    "OtherFirstName": "CHRISTINE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4222 E KIRKLAND RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85050-8716",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-870-8862",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4222 E KIRKLAND RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85050-8716",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-870-8862",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/02/2007",
    "LastUpdateDate": "03/01/2019",
    "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": "AP7406",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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