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1528098639 NPI number — MARGUERITE MARIE VARDMAN APRN

NPI Number: 1528098639
Health Care Provider/Practitioner: MARGUERITE MARIE VARDMAN APRN

Information about “1528098639” NPI (MARGUERITE MARIE VARDMAN APRN) exists in 1528098639 in HTML format HTML  |  1528098639 in plain Text format TXT  |  1528098639 in PDF (Portable Document Format) PDF  |  1528098639 in an XML format XML  formats.

NPI Number : 1528098639 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528098639",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VARDMAN",
    "FirstName": "MARGUERITE",
    "MiddleName": "MARIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TERLEMEZIAN",
    "OtherFirstName": "MARGUERITE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 740015",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30374-0015",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-733-9730",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "625 S MARIETTA PKWY SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARIETTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30060-2748",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "470-377-7228",
    "PracticeLocationAddressFaxNumber": "470-467-7583",
    "EnumerationDate": "07/04/2006",
    "LastUpdateDate": "05/01/2023",
    "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": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "NPF 14568",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "132550",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "076035",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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