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1538131396 NPI number — PATRICIA DAVIS CNPF

NPI Number: 1538131396
Health Care Provider/Practitioner: PATRICIA DAVIS CNPF

Information about “1538131396” NPI (PATRICIA DAVIS CNPF) exists in 1538131396 in HTML format HTML  |  1538131396 in plain Text format TXT  |  1538131396 in PDF (Portable Document Format) PDF  |  1538131396 in an XML format XML  formats.

NPI Number : 1538131396 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538131396",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "PATRICIA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CNPF",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3400 N CENTER RD",
    "SecondLineMailingAddress": "SUITE 100",
    "MailingAddressCityName": "SAGINAW",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48603-7919",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "989-792-1494",
    "MailingAddressFaxNumber": "989-249-9941",
    "FirstLinePracticeLocationAddress": "217 S MADISON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TRAVERSE CITY",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49684-2320",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "231-392-8400",
    "PracticeLocationAddressFaxNumber": "231-935-7888",
    "EnumerationDate": "02/06/2006",
    "LastUpdateDate": "03/15/2021",
    "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": "4704140341",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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