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1790969046 NPI number — ALEXIS BARTLEY PAULSON RN, APN

NPI Number: 1790969046
Health Care Provider/Practitioner: ALEXIS BARTLEY PAULSON RN, APN

Information about “1790969046” NPI (ALEXIS BARTLEY PAULSON RN, APN) exists in 1790969046 in HTML format HTML  |  1790969046 in plain Text format TXT  |  1790969046 in PDF (Portable Document Format) PDF  |  1790969046 in an XML format XML  formats.

NPI Number : 1790969046 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790969046",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAULSON",
    "FirstName": "ALEXIS",
    "MiddleName": "BARTLEY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, APN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BARTLEY",
    "OtherFirstName": "ALEXIS",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN, APN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1325 E CHURCH ST STE 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA MARIA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93454-5915",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-346-3456",
    "MailingAddressFaxNumber": "805-346-3454",
    "FirstLinePracticeLocationAddress": "1325 E CHURCH ST STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA MARIA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93454-5915",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-346-3456",
    "PracticeLocationAddressFaxNumber": "805-346-3454",
    "EnumerationDate": "12/21/2007",
    "LastUpdateDate": "07/01/2025",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "95034678",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "12974",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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