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1750227070 NPI number — ALEXIS ROSINA HERRERA

NPI Number: 1750227070
Health Care Provider/Practitioner: ALEXIS ROSINA HERRERA

Information about “1750227070” NPI (ALEXIS ROSINA HERRERA) exists in 1750227070 in HTML format HTML  |  1750227070 in plain Text format TXT  |  1750227070 in PDF (Portable Document Format) PDF  |  1750227070 in an XML format XML  formats.

NPI Number : 1750227070 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750227070",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HERRERA",
    "FirstName": "ALEXIS",
    "MiddleName": "ROSINA",
    "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": "1368 S 1500 E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PROVO",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84606-6549",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "385-241-5798",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3784 W VALLEY VIEW DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CEDAR HILLS",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84062-8085",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-407-9998",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/28/2026",
    "LastUpdateDate": "04/29/2026",
    "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": "175T00000X",
        "TaxonomyName": "Peer Specialist",
        "LicenseNumber": "F26-151986",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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