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1245711555 NPI number — MOLLY CATES CASEY CRNP

NPI Number: 1245711555
Health Care Provider/Practitioner: MOLLY CATES CASEY CRNP

Information about “1245711555” NPI (MOLLY CATES CASEY CRNP) exists in 1245711555 in HTML format HTML  |  1245711555 in plain Text format TXT  |  1245711555 in PDF (Portable Document Format) PDF  |  1245711555 in an XML format XML  formats.

NPI Number : 1245711555 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245711555",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CASEY",
    "FirstName": "MOLLY",
    "MiddleName": "CATES",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HACKMAN",
    "OtherFirstName": "MOLLY",
    "OtherMiddleName": "CATES",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "190 N POINTE BLVD STE 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LANCASTER",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17601-4132",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-560-6444",
    "MailingAddressFaxNumber": "717-569-1044",
    "FirstLinePracticeLocationAddress": "190 N POINTE BLVD STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-560-6444",
    "PracticeLocationAddressFaxNumber": "717-569-1044",
    "EnumerationDate": "08/24/2018",
    "LastUpdateDate": "08/30/2018",
    "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": "SP019124",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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