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1356726046 NPI number — ALISSA S ROE NURSE PRACTITIONER

NPI Number: 1356726046
Health Care Provider/Practitioner: ALISSA S ROE NURSE PRACTITIONER

Information about “1356726046” NPI (ALISSA S ROE NURSE PRACTITIONER) exists in 1356726046 in HTML format HTML  |  1356726046 in plain Text format TXT  |  1356726046 in PDF (Portable Document Format) PDF  |  1356726046 in an XML format XML  formats.

NPI Number : 1356726046 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356726046",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROE",
    "FirstName": "ALISSA",
    "MiddleName": "S",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NURSE PRACTITIONER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILSON",
    "OtherFirstName": "ALISSA",
    "OtherMiddleName": "S",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NURSE PRACTITIONER",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1460 COLBURN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ZANESVILLE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43701-7053",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "740-705-2003",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "945 BETHESDA DR STE 130",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ZANESVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43701-1880",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-454-4004",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/23/2015",
    "LastUpdateDate": "04/27/2021",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "APRN.CNP.17765",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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