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1649993684 NPI number — SPENCER FRANCES MARTIN CRNP

NPI Number: 1649993684
Health Care Provider/Practitioner: SPENCER FRANCES MARTIN CRNP

Information about “1649993684” NPI (SPENCER FRANCES MARTIN CRNP) exists in 1649993684 in HTML format HTML  |  1649993684 in plain Text format TXT  |  1649993684 in PDF (Portable Document Format) PDF  |  1649993684 in an XML format XML  formats.

NPI Number : 1649993684 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649993684",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTIN",
    "FirstName": "SPENCER",
    "MiddleName": "FRANCES",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTIN",
    "OtherFirstName": "SPENCER",
    "OtherMiddleName": "FRANCES",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "105 MARION QUIMBY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STEVENSVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21666-2529",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-838-7200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2001 MEDICAL PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANNAPOLIS",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21401-3773",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-507-8279",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/23/2022",
    "LastUpdateDate": "11/08/2022",
    "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": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "R220752",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "R220752",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "R220752",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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