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1639735616 NPI number — JULIE RENEE SHIELDS NP

NPI Number: 1639735616
Health Care Provider/Practitioner: JULIE RENEE SHIELDS NP

Information about “1639735616” NPI (JULIE RENEE SHIELDS NP) exists in 1639735616 in HTML format HTML  |  1639735616 in plain Text format TXT  |  1639735616 in PDF (Portable Document Format) PDF  |  1639735616 in an XML format XML  formats.

NPI Number : 1639735616 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639735616",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHIELDS",
    "FirstName": "JULIE",
    "MiddleName": "RENEE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROMASKO",
    "OtherFirstName": "JULIE",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "487 OBRYAN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KALISPELL",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59901-8805",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-471-9025",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "350 HERITAGE WAY STE 2300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KALISPELL",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59901-3167",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-752-8456",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/14/2019",
    "LastUpdateDate": "03/09/2021",
    "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": "363LA2200X",
        "TaxonomyName": "Adult Health Nurse Practitioner",
        "LicenseNumber": "NUR-APRN-LIC-131696",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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