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1609588854 NPI number — NORA SULLIVAN GLEASON CRNP

NPI Number: 1609588854
Health Care Provider/Practitioner: NORA SULLIVAN GLEASON CRNP

Information about “1609588854” NPI (NORA SULLIVAN GLEASON CRNP) exists in 1609588854 in HTML format HTML  |  1609588854 in plain Text format TXT  |  1609588854 in PDF (Portable Document Format) PDF  |  1609588854 in an XML format XML  formats.

NPI Number : 1609588854 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609588854",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GLEASON",
    "FirstName": "NORA",
    "MiddleName": "SULLIVAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TAMULEVICH",
    "OtherFirstName": "NORA",
    "OtherMiddleName": "SULLIVAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "726 S DECKER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21224-3945",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-642-4772",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "301 SAINT PAUL ST STE 519",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21202-2102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-642-4772",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/20/2022",
    "LastUpdateDate": "12/20/2022",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "R197561",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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