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1477005452 NPI number — MRS. NANCY T MATHEW

NPI Number: 1477005452
Health Care Provider/Practitioner: MRS. NANCY T MATHEW

Information about “1477005452” NPI (MRS. NANCY T MATHEW) exists in 1477005452 in HTML format HTML  |  1477005452 in plain Text format TXT  |  1477005452 in PDF (Portable Document Format) PDF  |  1477005452 in an XML format XML  formats.

NPI Number : 1477005452 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477005452",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MATHEW",
    "FirstName": "NANCY",
    "MiddleName": "T",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MATTAMANA",
    "OtherFirstName": "NANCY",
    "OtherMiddleName": "GEORGE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "12848 AMBER RENEE LN APT 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DADE CITY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33525-8493",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-469-9348",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9834 PINE LEAF LANE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DADE CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33525",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-469-9348",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/26/2016",
    "LastUpdateDate": "10/26/2016",
    "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": "ARNP 9224097",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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