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1508060484 NPI number — JOELLEN ANDERSON RN, ARNP

NPI Number: 1508060484
Health Care Provider/Practitioner: JOELLEN ANDERSON RN, ARNP

Information about “1508060484” NPI (JOELLEN ANDERSON RN, ARNP) exists in 1508060484 in HTML format HTML  |  1508060484 in plain Text format TXT  |  1508060484 in PDF (Portable Document Format) PDF  |  1508060484 in an XML format XML  formats.

NPI Number : 1508060484 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508060484",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDERSON",
    "FirstName": "JOELLEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2661 W RIDGE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WAUKON",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52172-8501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "563-568-4277",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "700 COLLEGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DECORAH",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52101-1041",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "563-387-1045",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/13/2007",
    "LastUpdateDate": "03/29/2013",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "071035",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "J071035",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "J-071035",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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