{
"Npi": {
"NPI": "1245357573",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BRUEN",
"FirstName": "MARY",
"MiddleName": "JANE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ORDOWSKI",
"OtherFirstName": "MARY",
"OtherMiddleName": "JANE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "NP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 13008",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LANSING",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48901-3008",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "517-364-6253",
"MailingAddressFaxNumber": "517-364-6208",
"FirstLinePracticeLocationAddress": "1200 E MICHIGAN AVE",
"SecondLinePracticeLocationAddress": "SUITE 460",
"PracticeLocationAddressCityName": "LANSING",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48912-1800",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "517-364-5490",
"PracticeLocationAddressFaxNumber": "517-364-5499",
"EnumerationDate": "03/23/2007",
"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": "363LP0200X",
"TaxonomyName": "Pediatric Nurse Practitioner",
"LicenseNumber": "4704110413",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}