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1467745166 NPI number — LISA M RICHARDS MSN, CNM

NPI Number: 1467745166
Health Care Provider/Practitioner: LISA M RICHARDS MSN, CNM

Information about “1467745166” NPI (LISA M RICHARDS MSN, CNM) exists in 1467745166 in HTML format HTML  |  1467745166 in plain Text format TXT  |  1467745166 in PDF (Portable Document Format) PDF  |  1467745166 in an XML format XML  formats.

NPI Number : 1467745166 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467745166",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICHARDS",
    "FirstName": "LISA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSN, CNM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6720 FRANK LLOYD WRIGHT AVE",
    "SecondLineMailingAddress": "SUITE 103",
    "MailingAddressCityName": "MIDDLETON",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53562-1753",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-821-0123",
    "MailingAddressFaxNumber": "608-821-0124",
    "FirstLinePracticeLocationAddress": "6720 FRANK LLOYD WRIGHT AVE",
    "SecondLinePracticeLocationAddress": "SUITE 103",
    "PracticeLocationAddressCityName": "MIDDLETON",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53562-1753",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-821-0123",
    "PracticeLocationAddressFaxNumber": "608-821-0124",
    "EnumerationDate": "05/27/2011",
    "LastUpdateDate": "05/27/2011",
    "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": "367A00000X",
        "TaxonomyName": "Advanced Practice Midwife",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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