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1346937885 NPI number — ALEXANDRA MCCLUSKEY NP

NPI Number: 1346937885
Health Care Provider/Practitioner: ALEXANDRA MCCLUSKEY NP

Information about “1346937885” NPI (ALEXANDRA MCCLUSKEY NP) exists in 1346937885 in HTML format HTML  |  1346937885 in plain Text format TXT  |  1346937885 in PDF (Portable Document Format) PDF  |  1346937885 in an XML format XML  formats.

NPI Number : 1346937885 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346937885",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCLUSKEY",
    "FirstName": "ALEXANDRA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "610 SW 15TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT LAUDERDALE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33315-1602",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-341-5579",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4725 N FEDERAL HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT LAUDERDALE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33308-4603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-542-8540",
    "PracticeLocationAddressFaxNumber": "954-542-8176",
    "EnumerationDate": "04/24/2023",
    "LastUpdateDate": "12/13/2023",
    "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": "11025352",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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