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1639885791 NPI number — HALEY L MIFFLIN FNP

NPI Number: 1639885791
Health Care Provider/Practitioner: HALEY L MIFFLIN FNP

Information about “1639885791” NPI (HALEY L MIFFLIN FNP) exists in 1639885791 in HTML format HTML  |  1639885791 in plain Text format TXT  |  1639885791 in PDF (Portable Document Format) PDF  |  1639885791 in an XML format XML  formats.

NPI Number : 1639885791 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639885791",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MIFFLIN",
    "FirstName": "HALEY",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1678 HAWKINS CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENWOOD",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46143-6858",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "219-929-8596",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "293 GRAND VALLEY BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARTINSVILLE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46151-6910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "765-516-6600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/23/2023",
    "LastUpdateDate": "02/01/2024",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "71013458A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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