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1427822881 NPI number — TIFFINI MARIE LUCERO CNP

NPI Number: 1427822881
Health Care Provider/Practitioner: TIFFINI MARIE LUCERO CNP

Information about “1427822881” NPI (TIFFINI MARIE LUCERO CNP) exists in 1427822881 in HTML format HTML  |  1427822881 in plain Text format TXT  |  1427822881 in PDF (Portable Document Format) PDF  |  1427822881 in an XML format XML  formats.

NPI Number : 1427822881 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427822881",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUCERO",
    "FirstName": "TIFFINI",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2 BROKERAGE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDGEWOOD",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87015-6722",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-239-3109",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8300 CONSTITUTION AVE NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87110-7613",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-291-2700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/07/2023",
    "LastUpdateDate": "03/12/2024",
    "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": "76648",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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