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1760868434 NPI number — BETHANY BRICEN PRINCE NP

NPI Number: 1760868434
Health Care Provider/Practitioner: BETHANY BRICEN PRINCE NP

Information about “1760868434” NPI (BETHANY BRICEN PRINCE NP) exists in 1760868434 in HTML format HTML  |  1760868434 in plain Text format TXT  |  1760868434 in PDF (Portable Document Format) PDF  |  1760868434 in an XML format XML  formats.

NPI Number : 1760868434 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760868434",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PRINCE",
    "FirstName": "BETHANY",
    "MiddleName": "BRICEN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "805 RIVER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEEDVILLE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15868-3804",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "781-248-9938",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "108 FRANCISCAN WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LORETTO",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15940-9703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-472-3008",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2015",
    "LastUpdateDate": "05/10/2023",
    "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": "363LW0102X",
        "TaxonomyName": "Women's Health Nurse Practitioner",
        "LicenseNumber": "SP014988",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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