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1285476564 NPI number — FIDELINA ESTHER FUENTES HART PNP

NPI Number: 1285476564
Health Care Provider/Practitioner: FIDELINA ESTHER FUENTES HART PNP

Information about “1285476564” NPI (FIDELINA ESTHER FUENTES HART PNP) exists in 1285476564 in HTML format HTML  |  1285476564 in plain Text format TXT  |  1285476564 in PDF (Portable Document Format) PDF  |  1285476564 in an XML format XML  formats.

NPI Number : 1285476564 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285476564",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FUENTES HART",
    "FirstName": "FIDELINA",
    "MiddleName": "ESTHER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ESCOBAR FUENTES",
    "OtherFirstName": "FIDELINA",
    "OtherMiddleName": "E",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FIDELINA E HART",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "23600 TELO AVE STE 130",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TORRANCE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90505-4036",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-833-1334",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "23600 TELO AVE STE 130",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TORRANCE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90505-4036",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "108-331-3343",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/10/2024",
    "LastUpdateDate": "03/06/2025",
    "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": "95026119",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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