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1639545718 NPI number — LAURA ANTOINETTE NEAL CRNA

NPI Number: 1639545718
Health Care Provider/Practitioner: LAURA ANTOINETTE NEAL CRNA

Information about “1639545718” NPI (LAURA ANTOINETTE NEAL CRNA) exists in 1639545718 in HTML format HTML  |  1639545718 in plain Text format TXT  |  1639545718 in PDF (Portable Document Format) PDF  |  1639545718 in an XML format XML  formats.

NPI Number : 1639545718 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639545718",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NEAL",
    "FirstName": "LAURA",
    "MiddleName": "ANTOINETTE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "250 PLEASANT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONCORD",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03301-2598",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-227-7000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "250 PLEASANT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONCORD",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03301-2598",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-789-9103",
    "PracticeLocationAddressFaxNumber": "603-227-7832",
    "EnumerationDate": "08/12/2015",
    "LastUpdateDate": "03/21/2025",
    "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": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "CRNA1141",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "084330-23",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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