NPI Code Detail JSON Logo

1457006033 NPI number — CHANSE WAYNE BOEHRINGER ACNP-AG

NPI Number: 1457006033
Health Care Provider/Practitioner: CHANSE WAYNE BOEHRINGER ACNP-AG

Information about “1457006033” NPI (CHANSE WAYNE BOEHRINGER ACNP-AG) exists in 1457006033 in HTML format HTML  |  1457006033 in plain Text format TXT  |  1457006033 in PDF (Portable Document Format) PDF  |  1457006033 in an XML format XML  formats.

NPI Number : 1457006033 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457006033",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOEHRINGER",
    "FirstName": "CHANSE",
    "MiddleName": "WAYNE",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "ACNP-AG",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7050 FM 660",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ENNIS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75119-0163",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-743-8818",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2700 E BROAD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANSFIELD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76063-5899",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "682-242-5924",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/13/2022",
    "LastUpdateDate": "02/13/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "745455",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.