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1336029073 NPI number — ALISON PRUNTY CRNA

NPI Number: 1336029073
Health Care Provider/Practitioner: ALISON PRUNTY CRNA

Information about “1336029073” NPI (ALISON PRUNTY CRNA) exists in 1336029073 in HTML format HTML  |  1336029073 in plain Text format TXT  |  1336029073 in PDF (Portable Document Format) PDF  |  1336029073 in an XML format XML  formats.

NPI Number : 1336029073 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336029073",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PRUNTY",
    "FirstName": "ALISON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1001 WEST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARTHAGE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13619-9703",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-493-1000",
    "MailingAddressFaxNumber": "315-493-0105",
    "FirstLinePracticeLocationAddress": "1001 WEST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARTHAGE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13619-9703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-493-1000",
    "PracticeLocationAddressFaxNumber": "315-493-0105",
    "EnumerationDate": "09/04/2025",
    "LastUpdateDate": "09/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "X",
    "Gender": null,
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "574219",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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