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1427097260 NPI number — TONYA R. VENHUIZEN MATT CNP

NPI Number: 1427097260
Health Care Provider/Practitioner: TONYA R. VENHUIZEN MATT CNP

Information about “1427097260” NPI (TONYA R. VENHUIZEN MATT CNP) exists in 1427097260 in HTML format HTML  |  1427097260 in plain Text format TXT  |  1427097260 in PDF (Portable Document Format) PDF  |  1427097260 in an XML format XML  formats.

NPI Number : 1427097260 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427097260",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VENHUIZEN MATT",
    "FirstName": "TONYA",
    "MiddleName": "R.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VENHUIZEN",
    "OtherFirstName": "TONYA",
    "OtherMiddleName": "R.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 86370",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIOUX FALLS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57118-6370",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-322-7510",
    "MailingAddressFaxNumber": "605-322-6475",
    "FirstLinePracticeLocationAddress": "1301 S. CLIFF AVE",
    "SecondLinePracticeLocationAddress": "STE 601",
    "PracticeLocationAddressCityName": "SIOUX FALLS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57105-1032",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-322-6930",
    "PracticeLocationAddressFaxNumber": "605-322-6931",
    "EnumerationDate": "06/06/2006",
    "LastUpdateDate": "10/16/2018",
    "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": "CP000141",
        "LicenseNumberStateCode": "SD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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