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1790447670 NPI number — JOSHAN NIROULA FNP

NPI Number: 1790447670
Health Care Provider/Practitioner: JOSHAN NIROULA FNP

Information about “1790447670” NPI (JOSHAN NIROULA FNP) exists in 1790447670 in HTML format HTML  |  1790447670 in plain Text format TXT  |  1790447670 in PDF (Portable Document Format) PDF  |  1790447670 in an XML format XML  formats.

NPI Number : 1790447670 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790447670",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NIROULA",
    "FirstName": "JOSHAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "54 MAYWOOD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WORCESTER",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01603-2724",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "19 TACOMA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WORCESTER",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01605-3516",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-425-1229",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/08/2021",
    "LastUpdateDate": "06/30/2026",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN2357618",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "RN2357618",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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