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1457169286 NPI number — COURTNEY MAXEY DNP, APRN, PNP-PC

NPI Number: 1457169286
Health Care Provider/Practitioner: COURTNEY MAXEY DNP, APRN, PNP-PC

Information about “1457169286” NPI (COURTNEY MAXEY DNP, APRN, PNP-PC) exists in 1457169286 in HTML format HTML  |  1457169286 in plain Text format TXT  |  1457169286 in PDF (Portable Document Format) PDF  |  1457169286 in an XML format XML  formats.

NPI Number : 1457169286 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457169286",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAXEY",
    "FirstName": "COURTNEY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP, APRN, PNP-PC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4129 N HIGHWAY 67",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLORISSANT",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63034-2825",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-778-3415",
    "MailingAddressFaxNumber": "314-355-2417",
    "FirstLinePracticeLocationAddress": "4129 N HIGHWAY 67",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FLORISSANT",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63034-2825",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-778-3415",
    "PracticeLocationAddressFaxNumber": "314-355-2417",
    "EnumerationDate": "12/26/2024",
    "LastUpdateDate": "12/26/2024",
    "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": "2019023979",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "2024040090",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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