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1376911925 NPI number — NP FROMHOME, LLC

NPI Number: 1376911925
Health Care Provider/Practitioner: NP FROMHOME, LLC

Information about “1376911925” NPI (NP FROMHOME, LLC) exists in 1376911925 in HTML format HTML  |  1376911925 in plain Text format TXT  |  1376911925 in PDF (Portable Document Format) PDF  |  1376911925 in an XML format XML  formats.

NPI Number : 1376911925 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376911925",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NP FROMHOME, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 25959",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MUNDS PARK",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86017-5959",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": "888-877-4669",
    "FirstLinePracticeLocationAddress": "1016 W. UNIVERSITY AVE",
    "SecondLinePracticeLocationAddress": "SUITE 206",
    "PracticeLocationAddressCityName": "FLAGSTAFF",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86011",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-814-8011",
    "PracticeLocationAddressFaxNumber": "888-877-4669",
    "EnumerationDate": "09/11/2015",
    "LastUpdateDate": "09/11/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOLDEN",
    "AuthorizedOfficialFirstName": "ANGELA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FAMILY NURSE PRACTITIONER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DNP, FNP-C",
    "AuthorizedOfficialTelephoneNumber": "928-814-8011",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "RN038576",
        "LicenseNumberStateCode": "AZ",
        "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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