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1477677367 NPI number — CAROLYN D BRUMBAUGH RN, CRNP

NPI Number: 1477677367
Health Care Provider/Practitioner: CAROLYN D BRUMBAUGH RN, CRNP

Information about “1477677367” NPI (CAROLYN D BRUMBAUGH RN, CRNP) exists in 1477677367 in HTML format HTML  |  1477677367 in plain Text format TXT  |  1477677367 in PDF (Portable Document Format) PDF  |  1477677367 in an XML format XML  formats.

NPI Number : 1477677367 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477677367",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRUMBAUGH",
    "FirstName": "CAROLYN",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3920 PINEY CREEK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILLIAMSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16693-8308",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-312-8098",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8344 WOODBURY PIKE UNIT 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROARING SPRING",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "16673-8107",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-205-4025",
    "PracticeLocationAddressFaxNumber": "814-240-6632",
    "EnumerationDate": "03/18/2007",
    "LastUpdateDate": "06/23/2022",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN5229646",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "SP011992",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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