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1821566159 NPI number — PEGGY ANNE NOBLE CNA

NPI Number: 1821566159
Health Care Provider/Practitioner: PEGGY ANNE NOBLE CNA

Information about “1821566159” NPI (PEGGY ANNE NOBLE CNA) exists in 1821566159 in HTML format HTML  |  1821566159 in plain Text format TXT  |  1821566159 in PDF (Portable Document Format) PDF  |  1821566159 in an XML format XML  formats.

NPI Number : 1821566159 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821566159",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOBLE",
    "FirstName": "PEGGY",
    "MiddleName": "ANNE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEWIS",
    "OtherFirstName": "PEGGY",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CNA",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1960 THOMPSON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEDRO WOOLLEY",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98284-5007",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-856-3186",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1960 THOMPSON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEDRO WOOLLEY",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98284-5007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-856-3186",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2018",
    "LastUpdateDate": "11/05/2018",
    "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": "246ZA2600X",
        "TaxonomyName": "Medical Art Specialist/Technologist",
        "LicenseNumber": "NC10101914",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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