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1336255025 NPI number — ERIN N. NELSON DPM

NPI Number: 1336255025
Health Care Provider/Practitioner: ERIN N. NELSON DPM

Information about “1336255025” NPI (ERIN N. NELSON DPM) exists in 1336255025 in HTML format HTML  |  1336255025 in plain Text format TXT  |  1336255025 in PDF (Portable Document Format) PDF  |  1336255025 in an XML format XML  formats.

NPI Number : 1336255025 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336255025",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "ERIN",
    "MiddleName": "N.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VIERKANT",
    "OtherFirstName": "ERIN",
    "OtherMiddleName": "N",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPM",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1606 S DUFF AVE STE 500",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AMES",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50010-8156",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "515-444-2390",
    "MailingAddressFaxNumber": "515-898-8586",
    "FirstLinePracticeLocationAddress": "1606 S DUFF AVE STE 500",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AMES",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50010-8156",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-444-2390",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/22/2006",
    "LastUpdateDate": "03/15/2021",
    "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": "213E00000X",
        "TaxonomyName": "Podiatrist",
        "LicenseNumber": "00796",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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