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1740729292 NPI number — MIGNONETTE DARLENE

NPI Number: 1740729292
Health Care Provider/Practitioner: MIGNONETTE DARLENE

Information about “1740729292” NPI (MIGNONETTE DARLENE) exists in 1740729292 in HTML format HTML  |  1740729292 in plain Text format TXT  |  1740729292 in PDF (Portable Document Format) PDF  |  1740729292 in an XML format XML  formats.

NPI Number : 1740729292 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740729292",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DARLENE",
    "FirstName": "MIGNONETTE",
    "MiddleName": null,
    "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": "PO BOX 10299",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WAYNE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46851-0299",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "574-546-1900",
    "MailingAddressFaxNumber": "574-546-1999",
    "FirstLinePracticeLocationAddress": "2100 N MAIN ST # 304",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CROWN POINT",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46307-1877",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "574-546-1900",
    "PracticeLocationAddressFaxNumber": "574-546-1999",
    "EnumerationDate": "02/16/2017",
    "LastUpdateDate": "05/23/2022",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "71006769A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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