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1740839349 NPI number — URGENTNP, LLC

NPI Number: 1740839349
Health Care Provider/Practitioner: URGENTNP, LLC

Information about “1740839349” NPI (URGENTNP, LLC) exists in 1740839349 in HTML format HTML  |  1740839349 in plain Text format TXT  |  1740839349 in PDF (Portable Document Format) PDF  |  1740839349 in an XML format XML  formats.

NPI Number : 1740839349 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740839349",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "URGENTNP, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1435",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTER HAVEN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33882-1435",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "863-221-5566",
    "MailingAddressFaxNumber": "863-884-1984",
    "FirstLinePracticeLocationAddress": "733 TERRANOVA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTER HAVEN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33884-3411",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "863-221-5566",
    "PracticeLocationAddressFaxNumber": "863-884-1984",
    "EnumerationDate": "09/05/2019",
    "LastUpdateDate": "12/31/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RICHARDSON",
    "AuthorizedOfficialFirstName": "NACRESHA",
    "AuthorizedOfficialMiddleName": "NICOLE",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DNP, APRN, FNP-C",
    "AuthorizedOfficialTelephoneNumber": "863-288-1709",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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