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1265433379 NPI number — KRISTINE GALLEY POTTS CRNP

NPI Number: 1265433379
Health Care Provider/Practitioner: KRISTINE GALLEY POTTS CRNP

Information about “1265433379” NPI (KRISTINE GALLEY POTTS CRNP) exists in 1265433379 in HTML format HTML  |  1265433379 in plain Text format TXT  |  1265433379 in PDF (Portable Document Format) PDF  |  1265433379 in an XML format XML  formats.

NPI Number : 1265433379 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265433379",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POTTS",
    "FirstName": "KRISTINE",
    "MiddleName": "GALLEY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GALLEY",
    "OtherFirstName": "KRISTINE",
    "OtherMiddleName": "SHARON",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "320 E NORTH AVE",
    "SecondLineMailingAddress": "AGH EMERGENCY ASSOCS",
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15212-4756",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-359-4138",
    "MailingAddressFaxNumber": "412-359-8874",
    "FirstLinePracticeLocationAddress": "320 E NORTH AVE",
    "SecondLinePracticeLocationAddress": "AGH EMERGENCY ASSOCS",
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15212-4756",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-359-4138",
    "PracticeLocationAddressFaxNumber": "412-359-8874",
    "EnumerationDate": "08/10/2005",
    "LastUpdateDate": "01/23/2013",
    "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": "SP000379A",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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