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1811474190 NPI number — EDDREA WARD CADE NP-C

NPI Number: 1811474190
Health Care Provider/Practitioner: EDDREA WARD CADE NP-C

Information about “1811474190” NPI (EDDREA WARD CADE NP-C) exists in 1811474190 in HTML format HTML  |  1811474190 in plain Text format TXT  |  1811474190 in PDF (Portable Document Format) PDF  |  1811474190 in an XML format XML  formats.

NPI Number : 1811474190 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811474190",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CADE",
    "FirstName": "EDDREA",
    "MiddleName": "WARD",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WARD-CADE",
    "OtherFirstName": "EDDREA",
    "OtherMiddleName": "LAVONIELLE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1825 HEATHERTON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONTGOMERY",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36106-3034",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-318-8723",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "129 MITYLENE PARK LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONTGOMERY",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36117-7302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "334-279-8180",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/19/2018",
    "LastUpdateDate": "10/11/2019",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "1-110178",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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