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1659081081 NPI number — BRIANA TENA MAHARI FNP

NPI Number: 1659081081
Health Care Provider/Practitioner: BRIANA TENA MAHARI FNP

Information about “1659081081” NPI (BRIANA TENA MAHARI FNP) exists in 1659081081 in HTML format HTML  |  1659081081 in plain Text format TXT  |  1659081081 in PDF (Portable Document Format) PDF  |  1659081081 in an XML format XML  formats.

NPI Number : 1659081081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659081081",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAHARI",
    "FirstName": "BRIANA",
    "MiddleName": "TENA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCIPIO",
    "OtherFirstName": "BRIANA",
    "OtherMiddleName": "TENA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5205 CHAIRMANS CT STE 201A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREDERICK",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21703-2918",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-629-3939",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11637 TERRACE DR STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WALDORF",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20602-3707",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-629-9352",
    "PracticeLocationAddressFaxNumber": "240-629-3953",
    "EnumerationDate": "11/28/2022",
    "LastUpdateDate": "07/11/2023",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "R221129",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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