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1508847799 NPI number — SANDRA MARIE WITTHOLZ WHNP-BC

NPI Number: 1508847799
Health Care Provider/Practitioner: SANDRA MARIE WITTHOLZ WHNP-BC

Information about “1508847799” NPI (SANDRA MARIE WITTHOLZ WHNP-BC) exists in 1508847799 in HTML format HTML  |  1508847799 in plain Text format TXT  |  1508847799 in PDF (Portable Document Format) PDF  |  1508847799 in an XML format XML  formats.

NPI Number : 1508847799 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508847799",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WITTHOLZ",
    "FirstName": "SANDRA",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "WHNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOLLAHAN",
    "OtherFirstName": "SANDRA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "WHNP-BC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "980 JOHNSON FERRY ROAD NE",
    "SecondLineMailingAddress": "SUITE 720",
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30342-1628",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-252-3898",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "980 JOHNSON FERRY ROAD NE STE 720",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30342-1628",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-252-3898",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/07/2005",
    "LastUpdateDate": "10/28/2025",
    "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": "363LW0102X",
        "TaxonomyName": "Women's Health Nurse Practitioner",
        "LicenseNumber": "APRN-NP335552",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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