1396423505 NPI number — VERONICA MARIE ALFARO MSN, APRN, FNP-C

NPI Number: 1396423505
Health Care Provider/Practitioner: VERONICA MARIE ALFARO MSN, APRN, FNP-C

NPI Number : 1396423505 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396423505",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALFARO",
    "FirstName": "VERONICA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSN, APRN, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "904 BRACKEN TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37214-4419",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-499-4776",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "803 5TH AVE E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POLSON",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59860-7028",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-499-4776",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/07/2023",
    "LastUpdateDate": "02/13/2026",
    "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": "285720",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN95167821",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "NUR-RN-LIC-76714",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}