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1285652941 NPI number — SARAH ARLENE BUCK-HERDRICH MS RN PMHCNS-BC

NPI Number: 1285652941
Health Care Provider/Practitioner: SARAH ARLENE BUCK-HERDRICH MS RN PMHCNS-BC

Information about “1285652941” NPI (SARAH ARLENE BUCK-HERDRICH MS RN PMHCNS-BC) exists in 1285652941 in HTML format HTML  |  1285652941 in plain Text format TXT  |  1285652941 in PDF (Portable Document Format) PDF  |  1285652941 in an XML format XML  formats.

NPI Number : 1285652941 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285652941",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUCK-HERDRICH",
    "FirstName": "SARAH",
    "MiddleName": "ARLENE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS RN PMHCNS-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BUCK",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "ARLENE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "MS RN PCNS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "107 CLOCK TOWER SQ",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTSMOUTH",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02871-1396",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-293-5930",
    "MailingAddressFaxNumber": "401-293-0097",
    "FirstLinePracticeLocationAddress": "107 CLOCK TOWER SQ",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTSMOUTH",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02871-1396",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-293-5930",
    "PracticeLocationAddressFaxNumber": "401-293-0097",
    "EnumerationDate": "07/18/2006",
    "LastUpdateDate": "12/04/2014",
    "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": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "PPNS00075",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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