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1407172950 NPI number — SUSAN JENNIFER KEIPER FNP

NPI Number: 1407172950
Health Care Provider/Practitioner: SUSAN JENNIFER KEIPER FNP

Information about “1407172950” NPI (SUSAN JENNIFER KEIPER FNP) exists in 1407172950 in HTML format HTML  |  1407172950 in plain Text format TXT  |  1407172950 in PDF (Portable Document Format) PDF  |  1407172950 in an XML format XML  formats.

NPI Number : 1407172950 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407172950",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEIPER",
    "FirstName": "SUSAN",
    "MiddleName": "JENNIFER",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HARUFF",
    "OtherFirstName": "SUSAN",
    "OtherMiddleName": "JENNIFER",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1200 N STATE ST",
    "SecondLineMailingAddress": "INPATIENT TOWER C3C162",
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90033-1029",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-409-3094",
    "MailingAddressFaxNumber": "323-441-8390",
    "FirstLinePracticeLocationAddress": "2051 MARENGO ST",
    "SecondLinePracticeLocationAddress": "C3C162",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90033-1352",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-409-3094",
    "PracticeLocationAddressFaxNumber": "323-441-8390",
    "EnumerationDate": "04/08/2010",
    "LastUpdateDate": "04/08/2010",
    "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": "RN313800",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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