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1356871404 NPI number — NICOLE BARBARA-TWYLA FACE PA-C

NPI Number: 1356871404
Health Care Provider/Practitioner: NICOLE BARBARA-TWYLA FACE PA-C

Information about “1356871404” NPI (NICOLE BARBARA-TWYLA FACE PA-C) exists in 1356871404 in HTML format HTML  |  1356871404 in plain Text format TXT  |  1356871404 in PDF (Portable Document Format) PDF  |  1356871404 in an XML format XML  formats.

NPI Number : 1356871404 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356871404",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FACE",
    "FirstName": "NICOLE",
    "MiddleName": "BARBARA-TWYLA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BAZAR",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "B",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 25608",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALT LAKE CITY",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84125-0608",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-320-4476",
    "MailingAddressFaxNumber": "206-568-7043",
    "FirstLinePracticeLocationAddress": "1101 MADISON ST STE 1500",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98104-3551",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-991-2000",
    "PracticeLocationAddressFaxNumber": "206-991-2005",
    "EnumerationDate": "06/12/2017",
    "LastUpdateDate": "06/28/2022",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "PA60904861",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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