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1750137808 NPI number — TRACY LYNN BRADY FNP-C

NPI Number: 1750137808
Health Care Provider/Practitioner: TRACY LYNN BRADY FNP-C

Information about “1750137808” NPI (TRACY LYNN BRADY FNP-C) exists in 1750137808 in HTML format HTML  |  1750137808 in plain Text format TXT  |  1750137808 in PDF (Portable Document Format) PDF  |  1750137808 in an XML format XML  formats.

NPI Number : 1750137808 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750137808",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRADY",
    "FirstName": "TRACY",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1631 S LANDROCK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARATOGA SPRINGS",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84045-6553",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-633-7015",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "275 W 200 N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINDON",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84042-5009",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-796-1333",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/29/2024",
    "LastUpdateDate": "04/29/2024",
    "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": "8633258-4405",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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