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1558786335 NPI number — BONNIE BROWN LVN

NPI Number: 1558786335
Health Care Provider/Practitioner: BONNIE BROWN LVN

Information about “1558786335” NPI (BONNIE BROWN LVN) exists in 1558786335 in HTML format HTML  |  1558786335 in plain Text format TXT  |  1558786335 in PDF (Portable Document Format) PDF  |  1558786335 in an XML format XML  formats.

NPI Number : 1558786335 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558786335",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "BONNIE",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LVN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROWN",
    "OtherFirstName": "BONNIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LVN",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "6643 VALLEY HI DR",
    "SecondLineMailingAddress": "#337",
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95823-7017",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-399-8267",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5 NIKKI CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELK GROVE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95758-6758",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-803-0458",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/03/2014",
    "LastUpdateDate": "03/03/2014",
    "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": "164X00000X",
        "TaxonomyName": "Licensed Vocational Nurse",
        "LicenseNumber": "214031",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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