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1326950924 NPI number — KRYSTAL YENISE BODEN RN

NPI Number: 1326950924
Health Care Provider/Practitioner: KRYSTAL YENISE BODEN RN

Information about “1326950924” NPI (KRYSTAL YENISE BODEN RN) exists in 1326950924 in HTML format HTML  |  1326950924 in plain Text format TXT  |  1326950924 in PDF (Portable Document Format) PDF  |  1326950924 in an XML format XML  formats.

NPI Number : 1326950924 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326950924",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BODEN",
    "FirstName": "KRYSTAL",
    "MiddleName": "YENISE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "304 CROSSING CT NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BONDURANT",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50035-1098",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "413-275-5798",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1111 6TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DES MOINES",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50314-2613",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-247-4400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/18/2026",
    "LastUpdateDate": "09/18/2026",
    "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": "163W00000X",
        "TaxonomyName": "Registered Nurse",
        "LicenseNumber": "183224",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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