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1487378089 NPI number — KRISTY DEAN NENADAL NURSE PRACTITIONER

NPI Number: 1487378089
Health Care Provider/Practitioner: KRISTY DEAN NENADAL NURSE PRACTITIONER

Information about “1487378089” NPI (KRISTY DEAN NENADAL NURSE PRACTITIONER) exists in 1487378089 in HTML format HTML  |  1487378089 in plain Text format TXT  |  1487378089 in PDF (Portable Document Format) PDF  |  1487378089 in an XML format XML  formats.

NPI Number : 1487378089 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487378089",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NENADAL",
    "FirstName": "KRISTY",
    "MiddleName": "DEAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NURSE PRACTITIONER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RUFFING",
    "OtherFirstName": "KRISTY",
    "OtherMiddleName": "DEAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13692 HEWES AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA ANA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92705-2774",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-244-0773",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13692 HEWES AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92705-2774",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-244-0773",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2022",
    "LastUpdateDate": "03/07/2023",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "95022572",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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