NPI Code Detail JSON Logo

1477709087 NPI number — CHERYL KATHERINE MUCK CNM, FNP-BC

NPI Number: 1477709087
Health Care Provider/Practitioner: CHERYL KATHERINE MUCK CNM, FNP-BC

Information about “1477709087” NPI (CHERYL KATHERINE MUCK CNM, FNP-BC) exists in 1477709087 in HTML format HTML  |  1477709087 in plain Text format TXT  |  1477709087 in PDF (Portable Document Format) PDF  |  1477709087 in an XML format XML  formats.

NPI Number : 1477709087 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477709087",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUCK",
    "FirstName": "CHERYL",
    "MiddleName": "KATHERINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNM, FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "775 S MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHELSEA",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48118-1383",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-593-5129",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "775 S MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHELSEA",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48118-1383",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-593-5129",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2008",
    "LastUpdateDate": "07/23/2013",
    "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": "4704241058",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "4704241058",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.