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1184219602 NPI number — XAN PAYNE FNP

NPI Number: 1184219602
Health Care Provider/Practitioner: XAN PAYNE FNP

Information about “1184219602” NPI (XAN PAYNE FNP) exists in 1184219602 in HTML format HTML  |  1184219602 in plain Text format TXT  |  1184219602 in PDF (Portable Document Format) PDF  |  1184219602 in an XML format XML  formats.

NPI Number : 1184219602 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184219602",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAYNE",
    "FirstName": "XAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PFINGSTON",
    "OtherFirstName": "XAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11305 W PINEHOLLOW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SURPRISE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85378-9344",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "863-307-0189",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "26700 AZ-85",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUCKEYE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85326-8532",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-386-6160",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/05/2021",
    "LastUpdateDate": "10/13/2021",
    "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": "255191",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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