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1639159106 NPI number — MARTHA FAY MONEYPENNY NP

NPI Number: 1639159106
Health Care Provider/Practitioner: MARTHA FAY MONEYPENNY NP

Information about “1639159106” NPI (MARTHA FAY MONEYPENNY NP) exists in 1639159106 in HTML format HTML  |  1639159106 in plain Text format TXT  |  1639159106 in PDF (Portable Document Format) PDF  |  1639159106 in an XML format XML  formats.

NPI Number : 1639159106 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639159106",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MONEYPENNY",
    "FirstName": "MARTHA",
    "MiddleName": "FAY",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3003 N CENTRAL AVE",
    "SecondLineMailingAddress": "SUITE 800",
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85012-2902",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-718-3050",
    "MailingAddressFaxNumber": "602-943-4359",
    "FirstLinePracticeLocationAddress": "3003 N CENTRAL AVE",
    "SecondLinePracticeLocationAddress": "SUITE 800",
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85012-2902",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-718-3050",
    "PracticeLocationAddressFaxNumber": "602-943-4359",
    "EnumerationDate": "01/19/2006",
    "LastUpdateDate": "07/24/2015",
    "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": "363LG0600X",
        "TaxonomyName": "Gerontology Nurse Practitioner",
        "LicenseNumber": "RN065712",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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