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1225454267 NPI number — TRACY L. STACK ARNP

NPI Number: 1225454267
Health Care Provider/Practitioner: TRACY L. STACK ARNP

Information about “1225454267” NPI (TRACY L. STACK ARNP) exists in 1225454267 in HTML format HTML  |  1225454267 in plain Text format TXT  |  1225454267 in PDF (Portable Document Format) PDF  |  1225454267 in an XML format XML  formats.

NPI Number : 1225454267 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225454267",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STACK",
    "FirstName": "TRACY",
    "MiddleName": "L.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HAYES",
    "OtherFirstName": "TRACY",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ARNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1911 E 39TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPOKANE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99203-4137",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-531-1051",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "235 E ROWAN AVE",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "SPOKANE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99207-1240",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-489-2101",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/14/2014",
    "LastUpdateDate": "04/26/2017",
    "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": "AP60454198",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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