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1780595207 NPI number — AMNESTY DIOR DAILEY-MCBRIDE APRN

NPI Number: 1780595207
Health Care Provider/Practitioner: AMNESTY DIOR DAILEY-MCBRIDE APRN

Information about “1780595207” NPI (AMNESTY DIOR DAILEY-MCBRIDE APRN) exists in 1780595207 in HTML format HTML  |  1780595207 in plain Text format TXT  |  1780595207 in PDF (Portable Document Format) PDF  |  1780595207 in an XML format XML  formats.

NPI Number : 1780595207 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780595207",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAILEY-MCBRIDE",
    "FirstName": "AMNESTY",
    "MiddleName": "DIOR",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1011 CAREFREE COVE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTER HAVEN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33881-9606",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-913-7565",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1011 CAREFREE COVE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTER HAVEN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33881-9606",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-913-7565",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/14/2026",
    "LastUpdateDate": "09/14/2026",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "APRN11050831",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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