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1659810430 NPI number — ELIZABETH DEMEYER NURSE PRACTITIONER

NPI Number: 1659810430
Health Care Provider/Practitioner: ELIZABETH DEMEYER NURSE PRACTITIONER

Information about “1659810430” NPI (ELIZABETH DEMEYER NURSE PRACTITIONER) exists in 1659810430 in HTML format HTML  |  1659810430 in plain Text format TXT  |  1659810430 in PDF (Portable Document Format) PDF  |  1659810430 in an XML format XML  formats.

NPI Number : 1659810430 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659810430",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEMEYER",
    "FirstName": "ELIZABETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NURSE PRACTITIONER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2224 W KILBOURN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILWAUKEE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53233-1614",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-339-4135",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2224 W KILBOURN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKEE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53233-1614",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-931-6670",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/14/2017",
    "LastUpdateDate": "03/24/2017",
    "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": "7535-33",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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