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1265074975 NPI number — ANGELA TIANA ESSARY APNP, NP-C

NPI Number: 1265074975
Health Care Provider/Practitioner: ANGELA TIANA ESSARY APNP, NP-C

Information about “1265074975” NPI (ANGELA TIANA ESSARY APNP, NP-C) exists in 1265074975 in HTML format HTML  |  1265074975 in plain Text format TXT  |  1265074975 in PDF (Portable Document Format) PDF  |  1265074975 in an XML format XML  formats.

NPI Number : 1265074975 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265074975",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ESSARY",
    "FirstName": "ANGELA",
    "MiddleName": "TIANA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APNP,  NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HILL",
    "OtherFirstName": "ANGELA AND",
    "OtherMiddleName": "TIANA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9900 WEATHERS BROOK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDMOND",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73025-0504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-361-0981",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1334 N HARVILLE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DUNCAN",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73533-1514",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-278-8006",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/14/2019",
    "LastUpdateDate": "06/10/2021",
    "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": "76378",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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