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1326875022 NPI number — STACEY A WISNEWSKI CNM

NPI Number: 1326875022
Health Care Provider/Practitioner: STACEY A WISNEWSKI CNM

Information about “1326875022” NPI (STACEY A WISNEWSKI CNM) exists in 1326875022 in HTML format HTML  |  1326875022 in plain Text format TXT  |  1326875022 in PDF (Portable Document Format) PDF  |  1326875022 in an XML format XML  formats.

NPI Number : 1326875022 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326875022",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WISNEWSKI",
    "FirstName": "STACEY",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "123 FRANKLIN CORNER RD STE 214",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAWRENCEVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08648-2526",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-537-7200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "123 FRANKLIN CORNER RD STE 214",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAWRENCEVILLE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08648-2526",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-537-7200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/17/2024",
    "LastUpdateDate": "10/28/2024",
    "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": "367A00000X",
        "TaxonomyName": "Advanced Practice Midwife",
        "LicenseNumber": "25ME00087501",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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