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1326669540 NPI number — TAMMY ROSE DEWITT APRN

NPI Number: 1326669540
Health Care Provider/Practitioner: TAMMY ROSE DEWITT APRN

Information about “1326669540” NPI (TAMMY ROSE DEWITT APRN) exists in 1326669540 in HTML format HTML  |  1326669540 in plain Text format TXT  |  1326669540 in PDF (Portable Document Format) PDF  |  1326669540 in an XML format XML  formats.

NPI Number : 1326669540 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326669540",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEWITT",
    "FirstName": "TAMMY",
    "MiddleName": "ROSE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 5",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MASCOTTE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34753-0005",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-626-2009",
    "MailingAddressFaxNumber": "866-404-4008",
    "FirstLinePracticeLocationAddress": "1300 HIGHWAY 41 N STE 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INVERNESS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34450-3964",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-646-7546",
    "PracticeLocationAddressFaxNumber": "866-404-4008",
    "EnumerationDate": "04/28/2020",
    "LastUpdateDate": "03/23/2024",
    "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": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "11006866",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "11006866",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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