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1255571998 NPI number — CAROLE MENZEL BREITKREITZ NP

NPI Number: 1255571998
Health Care Provider/Practitioner: CAROLE MENZEL BREITKREITZ NP

Information about “1255571998” NPI (CAROLE MENZEL BREITKREITZ NP) exists in 1255571998 in HTML format HTML  |  1255571998 in plain Text format TXT  |  1255571998 in PDF (Portable Document Format) PDF  |  1255571998 in an XML format XML  formats.

NPI Number : 1255571998 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255571998",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BREITKREITZ",
    "FirstName": "CAROLE",
    "MiddleName": "MENZEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 67537",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWARK",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07101-8009",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-400-9999",
    "MailingAddressFaxNumber": "302-267-4001",
    "FirstLinePracticeLocationAddress": "200 BANNING ST",
    "SecondLinePracticeLocationAddress": "STE 170",
    "PracticeLocationAddressCityName": "DOVER",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19904-3485",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-400-9999",
    "PracticeLocationAddressFaxNumber": "302-487-1167",
    "EnumerationDate": "02/20/2009",
    "LastUpdateDate": "05/21/2025",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "LG-0000484",
        "LicenseNumberStateCode": "DE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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