NPI Code Detail JSON Logo

1376363804 NPI number — MARIA RHOTCHIE DELGADO JEREZA MSN, FNP-C

NPI Number: 1376363804
Health Care Provider/Practitioner: MARIA RHOTCHIE DELGADO JEREZA MSN, FNP-C

Information about “1376363804” NPI (MARIA RHOTCHIE DELGADO JEREZA MSN, FNP-C) exists in 1376363804 in HTML format HTML  |  1376363804 in plain Text format TXT  |  1376363804 in PDF (Portable Document Format) PDF  |  1376363804 in an XML format XML  formats.

NPI Number : 1376363804 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376363804",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JEREZA",
    "FirstName": "MARIA RHOTCHIE",
    "MiddleName": "DELGADO",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSN, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JEREZA",
    "OtherFirstName": "MARIA",
    "OtherMiddleName": "DELGADO",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MSN, FNP-C",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3087 E WARM SPRINGS RD STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89120-3754",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "775-461-5773",
    "MailingAddressFaxNumber": "775-387-4605",
    "FirstLinePracticeLocationAddress": "3087 E WARM SPRINGS RD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89120-3754",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-461-5773",
    "PracticeLocationAddressFaxNumber": "775-387-4605",
    "EnumerationDate": "10/10/2024",
    "LastUpdateDate": "10/10/2024",
    "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": "883846",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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