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1679013908 NPI number — BARBARA PATRICIA ANDERS

NPI Number: 1679013908
Health Care Provider/Practitioner: BARBARA PATRICIA ANDERS

Information about “1679013908” NPI (BARBARA PATRICIA ANDERS) exists in 1679013908 in HTML format HTML  |  1679013908 in plain Text format TXT  |  1679013908 in PDF (Portable Document Format) PDF  |  1679013908 in an XML format XML  formats.

NPI Number : 1679013908 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679013908",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDERS",
    "FirstName": "BARBARA",
    "MiddleName": "PATRICIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ORANGE",
    "OtherFirstName": "BARBARA",
    "OtherMiddleName": "PATRICIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "220 WILLIAMS CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELKO",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31025-2040",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "478-225-7455",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "130 BYRD WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARNER ROBINS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31088-8937",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "478-922-9136",
    "PracticeLocationAddressFaxNumber": "478-923-6846",
    "EnumerationDate": "03/06/2017",
    "LastUpdateDate": "12/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "12/06/2025",
    "NPIReactivationDate": "12/16/2025",
    "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": "223551",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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