NPI Code Detail JSON Logo

1285317354 NPI number — WILLIAM HOWARD NEBUS FNP-C

NPI Number: 1285317354
Health Care Provider/Practitioner: WILLIAM HOWARD NEBUS FNP-C

Information about “1285317354” NPI (WILLIAM HOWARD NEBUS FNP-C) exists in 1285317354 in HTML format HTML  |  1285317354 in plain Text format TXT  |  1285317354 in PDF (Portable Document Format) PDF  |  1285317354 in an XML format XML  formats.

NPI Number : 1285317354 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285317354",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NEBUS",
    "FirstName": "WILLIAM",
    "MiddleName": "HOWARD",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "142 W PECKHAM ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEENAH",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54956-4028",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2700 W 9TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OSHKOSH",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54904-7247",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-223-2000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/07/2023",
    "LastUpdateDate": "08/24/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WE0003X",
          "TaxonomyName": "Emergency Registered Nurse",
          "LicenseNumber": "246935-30",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "14448-33",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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