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1538679147 NPI number — EVBU EVELY OSUNDE RN, BSN, FNP

NPI Number: 1538679147
Health Care Provider/Practitioner: EVBU EVELY OSUNDE RN, BSN, FNP

Information about “1538679147” NPI (EVBU EVELY OSUNDE RN, BSN, FNP) exists in 1538679147 in HTML format HTML  |  1538679147 in plain Text format TXT  |  1538679147 in PDF (Portable Document Format) PDF  |  1538679147 in an XML format XML  formats.

NPI Number : 1538679147 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538679147",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSUNDE",
    "FirstName": "EVBU",
    "MiddleName": "EVELY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, BSN, FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2213 MURPHY DR APT 1916",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEDFORD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76021-5976",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-352-1764",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1115 E ARKANSAS LANE",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76010",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-385-9799",
    "PracticeLocationAddressFaxNumber": "817-385-9881",
    "EnumerationDate": "10/10/2017",
    "LastUpdateDate": "03/17/2018",
    "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": "AP135759",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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