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1740086404 NPI number — NICOLE MARSADES HOWELL

NPI Number: 1740086404
Health Care Provider/Practitioner: NICOLE MARSADES HOWELL

Information about “1740086404” NPI (NICOLE MARSADES HOWELL) exists in 1740086404 in HTML format HTML  |  1740086404 in plain Text format TXT  |  1740086404 in PDF (Portable Document Format) PDF  |  1740086404 in an XML format XML  formats.

NPI Number : 1740086404 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740086404",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOWELL",
    "FirstName": "NICOLE",
    "MiddleName": "MARSADES",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "935 W SARAHS WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WASILLA",
    "MailingAddressStateName": "AK",
    "MailingAddressPostalCode": "99654-2226",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-870-7865",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3800 LAKE OTIS PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANCHORAGE",
    "PracticeLocationAddressStateName": "AK",
    "PracticeLocationAddressPostalCode": "99508-5237",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "907-519-8049",
    "PracticeLocationAddressFaxNumber": "907-782-4148",
    "EnumerationDate": "02/24/2025",
    "LastUpdateDate": "02/24/2025",
    "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": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "66788",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "232236",
          "LicenseNumberStateCode": "AK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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