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1811523186 NPI number — CHARLENE GRANT NURSE PRACTITIONER

NPI Number: 1811523186
Health Care Provider/Practitioner: CHARLENE GRANT NURSE PRACTITIONER

Information about “1811523186” NPI (CHARLENE GRANT NURSE PRACTITIONER) exists in 1811523186 in HTML format HTML  |  1811523186 in plain Text format TXT  |  1811523186 in PDF (Portable Document Format) PDF  |  1811523186 in an XML format XML  formats.

NPI Number : 1811523186 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811523186",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRANT",
    "FirstName": "CHARLENE",
    "MiddleName": null,
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "NURSE PRACTITIONER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GRANT",
    "OtherFirstName": "CHARLENE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "NURSE PRACTITIONER",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "61 ARLO RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STATEN ISLAND",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10301-4724",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-730-5224",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4713 CHURCH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11203-3209",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-284-7070",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/19/2020",
    "LastUpdateDate": "04/05/2021",
    "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": "F345680-01",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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