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1720063431 NPI number — SUSAN ELIZABETH WRIGHT NP, CNM

NPI Number: 1720063431
Health Care Provider/Practitioner: SUSAN ELIZABETH WRIGHT NP, CNM

Information about “1720063431” NPI (SUSAN ELIZABETH WRIGHT NP, CNM) exists in 1720063431 in HTML format HTML  |  1720063431 in plain Text format TXT  |  1720063431 in PDF (Portable Document Format) PDF  |  1720063431 in an XML format XML  formats.

NPI Number : 1720063431 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720063431",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WRIGHT",
    "FirstName": "SUSAN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP, CNM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "37360 52ND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PAW PAW",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49079-9334",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-207-4502",
    "MailingAddressFaxNumber": "269-657-5996",
    "FirstLinePracticeLocationAddress": "509 HAZEN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PAW PAW",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49079-1057",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-657-6058",
    "PracticeLocationAddressFaxNumber": "269-657-5996",
    "EnumerationDate": "12/14/2005",
    "LastUpdateDate": "09/13/2012",
    "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": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "4704098998",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "4704098998",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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