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1588841548 NPI number — AMY KAY BOHN CNA

NPI Number: 1588841548
Health Care Provider/Practitioner: AMY KAY BOHN CNA

Information about “1588841548” NPI (AMY KAY BOHN CNA) exists in 1588841548 in HTML format HTML  |  1588841548 in plain Text format TXT  |  1588841548 in PDF (Portable Document Format) PDF  |  1588841548 in an XML format XML  formats.

NPI Number : 1588841548 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588841548",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOHN",
    "FirstName": "AMY",
    "MiddleName": "KAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHNSON",
    "OtherFirstName": "AMY",
    "OtherMiddleName": "KAY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CNA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5670 S 3275 W",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAYLORSVILLE",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84118-3228",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-815-2856",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4026 VOLTA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST VALLEY",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84120-4021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-982-9589",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/22/2008",
    "LastUpdateDate": "01/22/2008",
    "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": "376K00000X",
        "TaxonomyName": "Nurse's Aide",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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