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1245210855 NPI number — ELEANOR PATRICIA STEWART-GARBRECHT CNM

NPI Number: 1245210855
Health Care Provider/Practitioner: ELEANOR PATRICIA STEWART-GARBRECHT CNM

Information about “1245210855” NPI (ELEANOR PATRICIA STEWART-GARBRECHT CNM) exists in 1245210855 in HTML format HTML  |  1245210855 in plain Text format TXT  |  1245210855 in PDF (Portable Document Format) PDF  |  1245210855 in an XML format XML  formats.

NPI Number : 1245210855 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245210855",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEWART-GARBRECHT",
    "FirstName": "ELEANOR",
    "MiddleName": "PATRICIA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CNM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1432 SUNDANCE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN MARCOS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92078-7999",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-704-9251",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "150 VALPREDA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN MARCOS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92069-2973",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-736-6729",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/19/2006",
    "LastUpdateDate": "01/28/2016",
    "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": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "161421",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "235662",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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