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1740329697 NPI number — DEANNE CAROL MUNROE N.P.

NPI Number: 1740329697
Health Care Provider/Practitioner: DEANNE CAROL MUNROE N.P.

Information about “1740329697” NPI (DEANNE CAROL MUNROE N.P.) exists in 1740329697 in HTML format HTML  |  1740329697 in plain Text format TXT  |  1740329697 in PDF (Portable Document Format) PDF  |  1740329697 in an XML format XML  formats.

NPI Number : 1740329697 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740329697",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUNROE",
    "FirstName": "DEANNE",
    "MiddleName": "CAROL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DALPHOND",
    "OtherFirstName": "DEANNE",
    "OtherMiddleName": "CAROL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "N.P.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1611 BIRCHCREST CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BREA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92821-1813",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-698-0811",
    "MailingAddressFaxNumber": "562-789-4468",
    "FirstLinePracticeLocationAddress": "12462 PUTNAM ST",
    "SecondLinePracticeLocationAddress": "4TH FLOOR",
    "PracticeLocationAddressCityName": "WHITTIER",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90602-1048",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-698-0811",
    "PracticeLocationAddressFaxNumber": "562-789-4468",
    "EnumerationDate": "02/06/2007",
    "LastUpdateDate": "12/17/2015",
    "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": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "190745",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "95002191",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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