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1538596960 NPI number — HANNAH CARRAWAY PEPTIS FNP

NPI Number: 1538596960
Health Care Provider/Practitioner: HANNAH CARRAWAY PEPTIS FNP

Information about “1538596960” NPI (HANNAH CARRAWAY PEPTIS FNP) exists in 1538596960 in HTML format HTML  |  1538596960 in plain Text format TXT  |  1538596960 in PDF (Portable Document Format) PDF  |  1538596960 in an XML format XML  formats.

NPI Number : 1538596960 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538596960",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEPTIS",
    "FirstName": "HANNAH",
    "MiddleName": "CARRAWAY",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "209 COBBLEPOINT WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLLY SPRINGS",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27540-8251",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-408-4515",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9900 BREN RD E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINNETONKA",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55343-9664",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-819-8084",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/30/2013",
    "LastUpdateDate": "07/16/2020",
    "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": "F0913665",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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