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1427149095 NPI number — NANCY LISETTE O'CONNELL A.R.N.P.

NPI Number: 1427149095
Health Care Provider/Practitioner: NANCY LISETTE O'CONNELL A.R.N.P.

Information about “1427149095” NPI (NANCY LISETTE O'CONNELL A.R.N.P.) exists in 1427149095 in HTML format HTML  |  1427149095 in plain Text format TXT  |  1427149095 in PDF (Portable Document Format) PDF  |  1427149095 in an XML format XML  formats.

NPI Number : 1427149095 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427149095",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "O'CONNELL",
    "FirstName": "NANCY",
    "MiddleName": "LISETTE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "A.R.N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5300 N INDEPENDENCE AVE STE 280",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OKLAHOMA CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73112-5555",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-702-9400",
    "MailingAddressFaxNumber": "405-702-9437",
    "FirstLinePracticeLocationAddress": "4801 SE 15TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEL CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73115-3918",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-702-9400",
    "PracticeLocationAddressFaxNumber": "405-702-9437",
    "EnumerationDate": "09/27/2006",
    "LastUpdateDate": "07/02/2019",
    "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": "363LP0200X",
        "TaxonomyName": "Pediatric Nurse Practitioner",
        "LicenseNumber": "R0069075",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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