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1255543716 NPI number — LYNNETTE MARIE WELLS ARNP

NPI Number: 1255543716
Health Care Provider/Practitioner: LYNNETTE MARIE WELLS ARNP

Information about “1255543716” NPI (LYNNETTE MARIE WELLS ARNP) exists in 1255543716 in HTML format HTML  |  1255543716 in plain Text format TXT  |  1255543716 in PDF (Portable Document Format) PDF  |  1255543716 in an XML format XML  formats.

NPI Number : 1255543716 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255543716",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WELLS",
    "FirstName": "LYNNETTE",
    "MiddleName": "MARIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WELLS",
    "OtherFirstName": "LYNNETTE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2106 N 89TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98103-4118",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-556-6553",
    "MailingAddressFaxNumber": "844-280-9908",
    "FirstLinePracticeLocationAddress": "1633 WESTLAKE AVE N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98109-6227",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-556-6553",
    "PracticeLocationAddressFaxNumber": "844-280-9908",
    "EnumerationDate": "05/04/2007",
    "LastUpdateDate": "10/19/2015",
    "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": "363LA2200X",
        "TaxonomyName": "Adult Health Nurse Practitioner",
        "LicenseNumber": "AP30004842",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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