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1235176413 NPI number — BARBARA ARLENE PETERSEN APRN

NPI Number: 1235176413
Health Care Provider/Practitioner: BARBARA ARLENE PETERSEN APRN

Information about “1235176413” NPI (BARBARA ARLENE PETERSEN APRN) exists in 1235176413 in HTML format HTML  |  1235176413 in plain Text format TXT  |  1235176413 in PDF (Portable Document Format) PDF  |  1235176413 in an XML format XML  formats.

NPI Number : 1235176413 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235176413",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PETERSEN",
    "FirstName": "BARBARA",
    "MiddleName": "ARLENE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTH",
    "OtherFirstName": "BARBARA",
    "OtherMiddleName": "ARLENE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "601 W LEOTA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH PLATTE",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "69101-6525",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "308-696-8000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "601 W LEOTA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH PLATTE",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "69101-6525",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-696-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/31/2006",
    "LastUpdateDate": "07/06/2012",
    "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": "110756",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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