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1245744473 NPI number — KRISTIN L. LATTANZIO FNP-BC

NPI Number: 1245744473
Health Care Provider/Practitioner: KRISTIN L. LATTANZIO FNP-BC

Information about “1245744473” NPI (KRISTIN L. LATTANZIO FNP-BC) exists in 1245744473 in HTML format HTML  |  1245744473 in plain Text format TXT  |  1245744473 in PDF (Portable Document Format) PDF  |  1245744473 in an XML format XML  formats.

NPI Number : 1245744473 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245744473",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LATTANZIO",
    "FirstName": "KRISTIN",
    "MiddleName": "L.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7447 W TALCOTT AVE",
    "SecondLineMailingAddress": "STE 542",
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60631-3716",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-631-2180",
    "MailingAddressFaxNumber": "773-631-5947",
    "FirstLinePracticeLocationAddress": "7435 W TALCOTT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60631-3707",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-594-8570",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/27/2017",
    "LastUpdateDate": "12/30/2021",
    "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": "209.016778",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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