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1588487409 NPI number — VALORIE ANN WILSON RN AND FNP-STUDENT

NPI Number: 1588487409
Health Care Provider/Practitioner: VALORIE ANN WILSON RN AND FNP-STUDENT

Information about “1588487409” NPI (VALORIE ANN WILSON RN AND FNP-STUDENT) exists in 1588487409 in HTML format HTML  |  1588487409 in plain Text format TXT  |  1588487409 in PDF (Portable Document Format) PDF  |  1588487409 in an XML format XML  formats.

NPI Number : 1588487409 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588487409",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILSON",
    "FirstName": "VALORIE",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN  AND FNP-STUDENT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 554",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLORENCE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85132-3010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-827-0133",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10641 E SINBAD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FLORENCE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85132-9733",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-827-0133",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/07/2024",
    "LastUpdateDate": "11/07/2024",
    "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": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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