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1578098919 NPI number — EVELYN DWUMAH FNP-BC, RN

NPI Number: 1578098919
Health Care Provider/Practitioner: EVELYN DWUMAH FNP-BC, RN

Information about “1578098919” NPI (EVELYN DWUMAH FNP-BC, RN) exists in 1578098919 in HTML format HTML  |  1578098919 in plain Text format TXT  |  1578098919 in PDF (Portable Document Format) PDF  |  1578098919 in an XML format XML  formats.

NPI Number : 1578098919 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578098919",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DWUMAH",
    "FirstName": "EVELYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-BC, RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "600 BAYCHESTER AVE",
    "SecondLineMailingAddress": "APT 18F",
    "MailingAddressCityName": "BRONX",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10475",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-671-1200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "263 BLUE POINT",
    "SecondLinePracticeLocationAddress": "CARING HANDS HOME CARE",
    "PracticeLocationAddressCityName": "BLUE POINT",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11715",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-419-6737",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/24/2017",
    "LastUpdateDate": "05/02/2024",
    "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": "2024005226",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "729909",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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