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1568090637 NPI number — IRENA FREYSTAETTER LM, CPM

NPI Number: 1568090637
Health Care Provider/Practitioner: IRENA FREYSTAETTER LM, CPM

Information about “1568090637” NPI (IRENA FREYSTAETTER LM, CPM) exists in 1568090637 in HTML format HTML  |  1568090637 in plain Text format TXT  |  1568090637 in PDF (Portable Document Format) PDF  |  1568090637 in an XML format XML  formats.

NPI Number : 1568090637 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568090637",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FREYSTAETTER",
    "FirstName": "IRENA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LM, CPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "133 CLEVEIRVINE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29607-1807",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-305-8976",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "850 FLOYD ROAD EXT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPARTANBURG",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29307-1048",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-305-8976",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/01/2020",
    "LastUpdateDate": "04/01/2020",
    "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": "176B00000X",
        "TaxonomyName": "Midwife",
        "LicenseNumber": "LMW-0087",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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