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1215059886 NPI number — PAMELA A. EICHENLAUB PNP

NPI Number: 1215059886
Health Care Provider/Practitioner: PAMELA A. EICHENLAUB PNP

Information about “1215059886” NPI (PAMELA A. EICHENLAUB PNP) exists in 1215059886 in HTML format HTML  |  1215059886 in plain Text format TXT  |  1215059886 in PDF (Portable Document Format) PDF  |  1215059886 in an XML format XML  formats.

NPI Number : 1215059886 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215059886",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EICHENLAUB",
    "FirstName": "PAMELA",
    "MiddleName": "A.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5255 KASSON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SYRACUSE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13215-8625",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-427-6125",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4900 BROAD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SYRACUSE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13215-2265",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-492-5899",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/04/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "363LP1700X",
        "TaxonomyName": "Perinatal Nurse Practitioner",
        "LicenseNumber": "F390013-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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