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1336696988 NPI number — FREYA CERNA RUDA APN

NPI Number: 1336696988
Health Care Provider/Practitioner: FREYA CERNA RUDA APN

Information about “1336696988” NPI (FREYA CERNA RUDA APN) exists in 1336696988 in HTML format HTML  |  1336696988 in plain Text format TXT  |  1336696988 in PDF (Portable Document Format) PDF  |  1336696988 in an XML format XML  formats.

NPI Number : 1336696988 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336696988",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUDA",
    "FirstName": "FREYA",
    "MiddleName": "CERNA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5316 TERSK WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELK GROVE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95757-3224",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "224-302-2513",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8191 TIMBERLAKE WAY STE 350",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95823-5419",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-688-9994",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/01/2016",
    "LastUpdateDate": "01/07/2022",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "209014686",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "95008941",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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