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1235507377 NPI number — LORI JEAN WAIN CRNP

NPI Number: 1235507377
Health Care Provider/Practitioner: LORI JEAN WAIN CRNP

Information about “1235507377” NPI (LORI JEAN WAIN CRNP) exists in 1235507377 in HTML format HTML  |  1235507377 in plain Text format TXT  |  1235507377 in PDF (Portable Document Format) PDF  |  1235507377 in an XML format XML  formats.

NPI Number : 1235507377 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235507377",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WAIN",
    "FirstName": "LORI",
    "MiddleName": "JEAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRYANT",
    "OtherFirstName": "LORI",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "107 MOUNT NEBO PTE STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15237-1316",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-548-1090",
    "MailingAddressFaxNumber": "125-483-1234",
    "FirstLinePracticeLocationAddress": "107 MOUNT NEBO POINTE RD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15237-1316",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-548-1090",
    "PracticeLocationAddressFaxNumber": "412-548-3123",
    "EnumerationDate": "09/06/2015",
    "LastUpdateDate": "09/10/2018",
    "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": "SP015293",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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