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1275106288 NPI number — KATLYN DANIELLE CORPE FAMILY NP

NPI Number: 1275106288
Health Care Provider/Practitioner: KATLYN DANIELLE CORPE FAMILY NP

Information about “1275106288” NPI (KATLYN DANIELLE CORPE FAMILY NP) exists in 1275106288 in HTML format HTML  |  1275106288 in plain Text format TXT  |  1275106288 in PDF (Portable Document Format) PDF  |  1275106288 in an XML format XML  formats.

NPI Number : 1275106288 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275106288",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CORPE",
    "FirstName": "KATLYN",
    "MiddleName": "DANIELLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FAMILY NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROSINSKI",
    "OtherFirstName": "KATLYN",
    "OtherMiddleName": "DANIELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1676",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MUNCIE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47308-1676",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "765-286-7000",
    "MailingAddressFaxNumber": "765-213-2768",
    "FirstLinePracticeLocationAddress": "1651 E 29TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MUNCIE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47302-5886",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "765-747-1164",
    "PracticeLocationAddressFaxNumber": "765-751-3359",
    "EnumerationDate": "07/19/2021",
    "LastUpdateDate": "10/14/2026",
    "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": "28235248A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "28235248A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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