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1336863778 NPI number — BETTY CHARLENE CARPENTER FNP

NPI Number: 1336863778
Health Care Provider/Practitioner: BETTY CHARLENE CARPENTER FNP

Information about “1336863778” NPI (BETTY CHARLENE CARPENTER FNP) exists in 1336863778 in HTML format HTML  |  1336863778 in plain Text format TXT  |  1336863778 in PDF (Portable Document Format) PDF  |  1336863778 in an XML format XML  formats.

NPI Number : 1336863778 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336863778",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARPENTER",
    "FirstName": "BETTY",
    "MiddleName": "CHARLENE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3785 N MELODY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KINGMAN",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86409-3343",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-255-8908",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2074 S 6TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KLAMATH FALLS",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97601-3372",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-851-8110",
    "PracticeLocationAddressFaxNumber": "541-851-8114",
    "EnumerationDate": "09/29/2022",
    "LastUpdateDate": "01/09/2025",
    "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": "163WE0003X",
          "TaxonomyName": "Emergency Registered Nurse",
          "LicenseNumber": "RN000099599",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "281661",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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