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1548934359 NPI number — CARLY R SELL PMHNP

NPI Number: 1548934359
Health Care Provider/Practitioner: CARLY R SELL PMHNP

Information about “1548934359” NPI (CARLY R SELL PMHNP) exists in 1548934359 in HTML format HTML  |  1548934359 in plain Text format TXT  |  1548934359 in PDF (Portable Document Format) PDF  |  1548934359 in an XML format XML  formats.

NPI Number : 1548934359 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548934359",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SELL",
    "FirstName": "CARLY",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PMHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5 BUGLE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINSTON",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59647-8512",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-459-9227",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1111 N RODNEY ST STE 4E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HELENA",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59601-3514",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-459-9227",
    "PracticeLocationAddressFaxNumber": "406-634-3302",
    "EnumerationDate": "08/04/2021",
    "LastUpdateDate": "11/08/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "10/03/2022",
    "NPIReactivationDate": "10/11/2022",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "196374",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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