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1790575652 NPI number — MORIAH EVE MROZ MSN, RN

NPI Number: 1790575652
Health Care Provider/Practitioner: MORIAH EVE MROZ MSN, RN

Information about “1790575652” NPI (MORIAH EVE MROZ MSN, RN) exists in 1790575652 in HTML format HTML  |  1790575652 in plain Text format TXT  |  1790575652 in PDF (Portable Document Format) PDF  |  1790575652 in an XML format XML  formats.

NPI Number : 1790575652 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790575652",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MROZ",
    "FirstName": "MORIAH",
    "MiddleName": "EVE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSN, RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BENNETT",
    "OtherFirstName": "MORIAH",
    "OtherMiddleName": "EVE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 637764",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45263-7764",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-880-3939",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6838 ASTER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PENDLETON",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46064-1374",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-810-6432",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/12/2025",
    "LastUpdateDate": "09/25/2025",
    "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": "363LN0000X",
          "TaxonomyName": "Neonatal Nurse Practitioner",
          "LicenseNumber": "71016685A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "28274595A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "71016685A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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