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1255924809 NPI number — LARA TAYLOR APRN FNP-C

NPI Number: 1255924809
Health Care Provider/Practitioner: LARA TAYLOR APRN FNP-C

Information about “1255924809” NPI (LARA TAYLOR APRN FNP-C) exists in 1255924809 in HTML format HTML  |  1255924809 in plain Text format TXT  |  1255924809 in PDF (Portable Document Format) PDF  |  1255924809 in an XML format XML  formats.

NPI Number : 1255924809 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255924809",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAYLOR",
    "FirstName": "LARA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10010 KENNERLY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63128-2106",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "636-236-1067",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1405 N TRUMAN BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FESTUS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63028-1177",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "636-933-2243",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/15/2021",
    "LastUpdateDate": "04/02/2021",
    "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": "261QU0200X",
          "TaxonomyName": "Urgent Care Clinic/Center",
          "LicenseNumber": "2021004251",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "2021004251",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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