NPI Code Detail JSON Logo

1457003832 NPI number — ABIGAIL E GLAZER CPNP-PC

NPI Number: 1457003832
Health Care Provider/Practitioner: ABIGAIL E GLAZER CPNP-PC

Information about “1457003832” NPI (ABIGAIL E GLAZER CPNP-PC) exists in 1457003832 in HTML format HTML  |  1457003832 in plain Text format TXT  |  1457003832 in PDF (Portable Document Format) PDF  |  1457003832 in an XML format XML  formats.

NPI Number : 1457003832 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457003832",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GLAZER",
    "FirstName": "ABIGAIL",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPNP-PC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILWANT",
    "OtherFirstName": "ABIGAIL",
    "OtherMiddleName": "ELISE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CPNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 307",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CUMMING",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30028-0307",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-887-1670",
    "MailingAddressFaxNumber": "770-887-0978",
    "FirstLinePracticeLocationAddress": "475 TRIBBLE GAP RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CUMMING",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30040-2478",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-381-6125",
    "PracticeLocationAddressFaxNumber": "770-781-9937",
    "EnumerationDate": "01/26/2022",
    "LastUpdateDate": "07/26/2024",
    "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": "363LP0200X",
        "TaxonomyName": "Pediatric Nurse Practitioner",
        "LicenseNumber": "RN299103",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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