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1760362453 NPI number — DAVID L VENDT RN

NPI Number: 1760362453
Health Care Provider/Practitioner: DAVID L VENDT RN

Information about “1760362453” NPI (DAVID L VENDT RN) exists in 1760362453 in HTML format HTML  |  1760362453 in plain Text format TXT  |  1760362453 in PDF (Portable Document Format) PDF  |  1760362453 in an XML format XML  formats.

NPI Number : 1760362453 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760362453",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VENDT",
    "FirstName": "DAVID",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "545 MANGO DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VIRGINIA BEACH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23452-4411",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-681-3203",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2025 GLENN MITCHELL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VIRGINIA BEACH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23456-0178",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-507-1099",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/04/2025",
    "LastUpdateDate": "09/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "163WE0003X",
        "TaxonomyName": "Emergency Registered Nurse",
        "LicenseNumber": "0001139487",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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