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1396238630 NPI number — KRISTEN LEANY APRN

NPI Number: 1396238630
Health Care Provider/Practitioner: KRISTEN LEANY APRN

Information about “1396238630” NPI (KRISTEN LEANY APRN) exists in 1396238630 in HTML format HTML  |  1396238630 in plain Text format TXT  |  1396238630 in PDF (Portable Document Format) PDF  |  1396238630 in an XML format XML  formats.

NPI Number : 1396238630 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396238630",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEANY",
    "FirstName": "KRISTEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEANY",
    "OtherFirstName": "KRISTY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1055 N 500 W",
    "SecondLineMailingAddress": "ATTN CREDENTIALING",
    "MailingAddressCityName": "PROVO",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84604",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-354-8225",
    "MailingAddressFaxNumber": "801-418-0941",
    "FirstLinePracticeLocationAddress": "2825 E MALL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ST GEORGE",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84790-1954",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "435-215-0400",
    "PracticeLocationAddressFaxNumber": "435-251-2901",
    "EnumerationDate": "06/12/2018",
    "LastUpdateDate": "03/27/2025",
    "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": "829459",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "5282880-4405",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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