NPI Code Detail JSON Logo

1508814468 NPI number — LINNEA MARIE AXMAN DRPH, DNP, MSN, FNP

NPI Number: 1508814468
Health Care Provider/Practitioner: LINNEA MARIE AXMAN DRPH, DNP, MSN, FNP

Information about “1508814468” NPI (LINNEA MARIE AXMAN DRPH, DNP, MSN, FNP) exists in 1508814468 in HTML format HTML  |  1508814468 in plain Text format TXT  |  1508814468 in PDF (Portable Document Format) PDF  |  1508814468 in an XML format XML  formats.

NPI Number : 1508814468 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508814468",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AXMAN",
    "FirstName": "LINNEA",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DRPH, DNP, MSN, FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "250 QUAIL RUN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLARKDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86324-3013",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-813-5732",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "250 QUAIL RUN CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLARKDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86324-3013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-488-1037",
    "PracticeLocationAddressFaxNumber": "619-223-7186",
    "EnumerationDate": "05/04/2006",
    "LastUpdateDate": "10/15/2024",
    "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": "4704118112",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "787483",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "248672",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "248672",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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