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1669651972 NPI number — MAUREEN PATRICE MCGOVERN CPNP

NPI Number: 1669651972
Health Care Provider/Practitioner: MAUREEN PATRICE MCGOVERN CPNP

Information about “1669651972” NPI (MAUREEN PATRICE MCGOVERN CPNP) exists in 1669651972 in HTML format HTML  |  1669651972 in plain Text format TXT  |  1669651972 in PDF (Portable Document Format) PDF  |  1669651972 in an XML format XML  formats.

NPI Number : 1669651972 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669651972",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCGOVERN",
    "FirstName": "MAUREEN",
    "MiddleName": "PATRICE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2890 NIAGARA FALLS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH TONAWANDA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14120-1114",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-807-7337",
    "MailingAddressFaxNumber": "716-213-4400",
    "FirstLinePracticeLocationAddress": "2890 NIAGARA FALLS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH TONAWANDA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14120-1114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-807-7337",
    "PracticeLocationAddressFaxNumber": "716-213-4400",
    "EnumerationDate": "11/02/2007",
    "LastUpdateDate": "04/08/2025",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "381566",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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