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1821808775 NPI number — GINA WUBBEN RN

NPI Number: 1821808775
Health Care Provider/Practitioner: GINA WUBBEN RN

Information about “1821808775” NPI (GINA WUBBEN RN) exists in 1821808775 in HTML format HTML  |  1821808775 in plain Text format TXT  |  1821808775 in PDF (Portable Document Format) PDF  |  1821808775 in an XML format XML  formats.

NPI Number : 1821808775 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821808775",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WUBBEN",
    "FirstName": "GINA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LUDENS",
    "OtherFirstName": "GINA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6312 W 53RD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIOUX FALLS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57106-1920",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-661-5771",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2501 W 22ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SIOUX FALLS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57105-1305",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-336-3230",
    "PracticeLocationAddressFaxNumber": "605-977-4406",
    "EnumerationDate": "01/13/2025",
    "LastUpdateDate": "01/13/2025",
    "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": "163WW0000X",
        "TaxonomyName": "Wound Care Registered Nurse",
        "LicenseNumber": "R045506",
        "LicenseNumberStateCode": "SD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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