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1477903284 NPI number — TRACY KILLIAN NP-C

NPI Number: 1477903284
Health Care Provider/Practitioner: TRACY KILLIAN NP-C

Information about “1477903284” NPI (TRACY KILLIAN NP-C) exists in 1477903284 in HTML format HTML  |  1477903284 in plain Text format TXT  |  1477903284 in PDF (Portable Document Format) PDF  |  1477903284 in an XML format XML  formats.

NPI Number : 1477903284 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477903284",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KILLIAN",
    "FirstName": "TRACY",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2666 BABBLE CREEK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "O FALLON",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63368-8334",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "636-379-0209",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2893 VETERANS MEMORIAL PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT CHARLES",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63303-3526",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "636-336-1401",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/13/2016",
    "LastUpdateDate": "06/13/2016",
    "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": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "145843",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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