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1356492771 NPI number — YVETTE ALISE FAUST RN

NPI Number: 1356492771
Health Care Provider/Practitioner: YVETTE ALISE FAUST RN

Information about “1356492771” NPI (YVETTE ALISE FAUST RN) exists in 1356492771 in HTML format HTML  |  1356492771 in plain Text format TXT  |  1356492771 in PDF (Portable Document Format) PDF  |  1356492771 in an XML format XML  formats.

NPI Number : 1356492771 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356492771",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FAUST",
    "FirstName": "YVETTE",
    "MiddleName": "ALISE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6290 WESTRIDGE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EUREKA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95503-9201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-445-7348",
    "MailingAddressFaxNumber": "707-443-7348",
    "FirstLinePracticeLocationAddress": "2607 HARRIS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EUREKA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95503-4806",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-445-3443",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/13/2007",
    "LastUpdateDate": "10/22/2021",
    "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": "163WR0006X",
          "TaxonomyName": "Registered Nurse First Assistant",
          "LicenseNumber": "RN411242",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "17315",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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