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1265684989 NPI number — VIVIAN LYNN TREGLIA FNP

NPI Number: 1265684989
Health Care Provider/Practitioner: VIVIAN LYNN TREGLIA FNP

Information about “1265684989” NPI (VIVIAN LYNN TREGLIA FNP) exists in 1265684989 in HTML format HTML  |  1265684989 in plain Text format TXT  |  1265684989 in PDF (Portable Document Format) PDF  |  1265684989 in an XML format XML  formats.

NPI Number : 1265684989 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265684989",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TREGLIA",
    "FirstName": "VIVIAN",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GARDNER",
    "OtherFirstName": "VIVIAN",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2 CANFIELD AVE APT 831",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITE PLAINS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10601-2070",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-420-0207",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "260 E 188TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRONX",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10458-5302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-220-2020",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/13/2008",
    "LastUpdateDate": "11/24/2021",
    "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": "334576",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "F334576",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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