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1801440102 NPI number — AMANDA LEE ROSEMARY WOOD DNP

NPI Number: 1801440102
Health Care Provider/Practitioner: AMANDA LEE ROSEMARY WOOD DNP

Information about “1801440102” NPI (AMANDA LEE ROSEMARY WOOD DNP) exists in 1801440102 in HTML format HTML  |  1801440102 in plain Text format TXT  |  1801440102 in PDF (Portable Document Format) PDF  |  1801440102 in an XML format XML  formats.

NPI Number : 1801440102 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801440102",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOOD",
    "FirstName": "AMANDA",
    "MiddleName": "LEE ROSEMARY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "DNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RANGEL",
    "OtherFirstName": "AMANDA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3815 N SCHREIBER WAY UNIT 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COEUR D ALENE",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83815-8434",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-755-2804",
    "MailingAddressFaxNumber": "208-765-0277",
    "FirstLinePracticeLocationAddress": "3815 N SCHREIBER WAY UNIT 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COEUR D ALENE",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83815-8434",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-755-2804",
    "PracticeLocationAddressFaxNumber": "208-765-0277",
    "EnumerationDate": "07/25/2019",
    "LastUpdateDate": "11/02/2024",
    "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": "AP60987586",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "4661671",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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