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1467902007 NPI number — SARA MCCAMMAN DNP FNP-BC

NPI Number: 1467902007
Health Care Provider/Practitioner: SARA MCCAMMAN DNP FNP-BC

Information about “1467902007” NPI (SARA MCCAMMAN DNP FNP-BC) exists in 1467902007 in HTML format HTML  |  1467902007 in plain Text format TXT  |  1467902007 in PDF (Portable Document Format) PDF  |  1467902007 in an XML format XML  formats.

NPI Number : 1467902007 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467902007",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCAMMAN",
    "FirstName": "SARA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JACKMAN",
    "OtherFirstName": "SARA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DNP FNP-BC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1521 E TANGERINE RD STE 315",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORO VALLEY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85755-6222",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-901-6350",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1007 39TH AVE SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PUYALLUP",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98374-2192",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-435-3100",
    "PracticeLocationAddressFaxNumber": "844-660-0690",
    "EnumerationDate": "10/06/2016",
    "LastUpdateDate": "08/28/2023",
    "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": "AP9030",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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