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1588909360 NPI number — ALONDRA MARTINEZ RN, NPDS

NPI Number: 1588909360
Health Care Provider/Practitioner: ALONDRA MARTINEZ RN, NPDS

Information about “1588909360” NPI (ALONDRA MARTINEZ RN, NPDS) exists in 1588909360 in HTML format HTML  |  1588909360 in plain Text format TXT  |  1588909360 in PDF (Portable Document Format) PDF  |  1588909360 in an XML format XML  formats.

NPI Number : 1588909360 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588909360",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTINEZ",
    "FirstName": "ALONDRA",
    "MiddleName": null,
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "RN, NPDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YOUNGBERG",
    "OtherFirstName": "ALONDRA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "325 DISTEL CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ALTOS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94022-1408",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "650-853-2919",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "795 EL CAMINO REAL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALO ALTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94301-2302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-853-2919",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/05/2012",
    "LastUpdateDate": "05/28/2020",
    "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": "363LA2100X",
        "TaxonomyName": "Acute Care Nurse Practitioner",
        "LicenseNumber": "22519",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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