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1558250449 NPI number — ALICIA LYNN STAATS

NPI Number: 1558250449
Health Care Provider/Practitioner: ALICIA LYNN STAATS

Information about “1558250449” NPI (ALICIA LYNN STAATS) exists in 1558250449 in HTML format HTML  |  1558250449 in plain Text format TXT  |  1558250449 in PDF (Portable Document Format) PDF  |  1558250449 in an XML format XML  formats.

NPI Number : 1558250449 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558250449",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STAATS",
    "FirstName": "ALICIA",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DENGLER",
    "OtherFirstName": "ALICA",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "19103 BROADFORD RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAEGERTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16433-3909",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-720-3598",
    "MailingAddressFaxNumber": "814-720-3598",
    "FirstLinePracticeLocationAddress": "600 WESLEY WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MEADVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "16335-9413",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-720-8024",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/02/2025",
    "LastUpdateDate": "07/02/2025",
    "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": "SP033235",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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