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1255782637 NPI number — ANNA KATE SPENCE CRNA

NPI Number: 1255782637
Health Care Provider/Practitioner: ANNA KATE SPENCE CRNA

Information about “1255782637” NPI (ANNA KATE SPENCE CRNA) exists in 1255782637 in HTML format HTML  |  1255782637 in plain Text format TXT  |  1255782637 in PDF (Portable Document Format) PDF  |  1255782637 in an XML format XML  formats.

NPI Number : 1255782637 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255782637",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SPENCE",
    "FirstName": "ANNA",
    "MiddleName": "KATE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BERD",
    "OtherFirstName": "ANNA",
    "OtherMiddleName": "KATE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "221 N 33RD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONGPORT",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08403-1507",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-742-1530",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "65 W JIMMIE LEEDS RD",
    "SecondLinePracticeLocationAddress": "DEPARTMENT OF ANESTHESIOLOGY",
    "PracticeLocationAddressCityName": "POMONA",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08240-9102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-748-7597",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/27/2016",
    "LastUpdateDate": "06/27/2016",
    "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": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "26NJ00650500",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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