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1659208684 NPI number — MRS. BROOKE ELIZABETH RICHARDS

NPI Number: 1659208684
Health Care Provider/Practitioner: MRS. BROOKE ELIZABETH RICHARDS

Information about “1659208684” NPI (MRS. BROOKE ELIZABETH RICHARDS) exists in 1659208684 in HTML format HTML  |  1659208684 in plain Text format TXT  |  1659208684 in PDF (Portable Document Format) PDF  |  1659208684 in an XML format XML  formats.

NPI Number : 1659208684 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659208684",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICHARDS",
    "FirstName": "BROOKE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NEARHOOD",
    "OtherFirstName": "BROOKE",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6893 PECK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SYRACUSE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13209-9709",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-807-9042",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "750 E ADAMS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SYRACUSE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13210-2306",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-464-8200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/05/2026",
    "LastUpdateDate": "05/05/2026",
    "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": "163W00000X",
        "TaxonomyName": "Registered Nurse",
        "LicenseNumber": "810230",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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