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1285293043 NPI number — LYNDA JEAN NELSON INTERMEDIATE EMT

NPI Number: 1285293043
Health Care Provider/Practitioner: LYNDA JEAN NELSON INTERMEDIATE EMT

Information about “1285293043” NPI (LYNDA JEAN NELSON INTERMEDIATE EMT) exists in 1285293043 in HTML format HTML  |  1285293043 in plain Text format TXT  |  1285293043 in PDF (Portable Document Format) PDF  |  1285293043 in an XML format XML  formats.

NPI Number : 1285293043 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285293043",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "LYNDA",
    "MiddleName": "JEAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "INTERMEDIATE EMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 492",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWCASTLE",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "82701-0492",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-746-2800",
    "MailingAddressFaxNumber": "307-746-4382",
    "FirstLinePracticeLocationAddress": "7 W WENTWORTH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWCASTLE",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "82701-2838",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-746-2800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/06/2019",
    "LastUpdateDate": "06/06/2019",
    "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": "207PE0004X",
        "TaxonomyName": "Emergency Medical Services (Emergency Medicine) Physician",
        "LicenseNumber": "11617",
        "LicenseNumberStateCode": "WY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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