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1497558340 NPI number — MYA THUERMAN

NPI Number: 1497558340
Health Care Provider/Practitioner: MYA THUERMAN

Information about “1497558340” NPI (MYA THUERMAN) exists in 1497558340 in HTML format HTML  |  1497558340 in plain Text format TXT  |  1497558340 in PDF (Portable Document Format) PDF  |  1497558340 in an XML format XML  formats.

NPI Number : 1497558340 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497558340",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THUERMAN",
    "FirstName": "MYA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHANNES",
    "OtherFirstName": "MYA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "804 N 7TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINNECONNE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54986-9303",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "804 N 7TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINNECONNE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54986-9303",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-942-6500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/28/2025",
    "LastUpdateDate": "10/03/2025",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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