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1730363870 NPI number — WYNIKA RAYNE MOREIRA APRN, FNP-C

NPI Number: 1730363870
Health Care Provider/Practitioner: WYNIKA RAYNE MOREIRA APRN, FNP-C

Information about “1730363870” NPI (WYNIKA RAYNE MOREIRA APRN, FNP-C) exists in 1730363870 in HTML format HTML  |  1730363870 in plain Text format TXT  |  1730363870 in PDF (Portable Document Format) PDF  |  1730363870 in an XML format XML  formats.

NPI Number : 1730363870 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730363870",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOREIRA",
    "FirstName": "WYNIKA",
    "MiddleName": "RAYNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTIN",
    "OtherFirstName": "WYNIKA",
    "OtherMiddleName": "RAYNE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3014 BALDWIN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARASOTA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34232-5208",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-924-8546",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2200 RINGLING BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34237-6102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-924-8546",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/26/2007",
    "LastUpdateDate": "06/13/2022",
    "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": "RN9405389",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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