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1821897398 NPI number — LISETTE VANESSA WINANS APRN

NPI Number: 1821897398
Health Care Provider/Practitioner: LISETTE VANESSA WINANS APRN

Information about “1821897398” NPI (LISETTE VANESSA WINANS APRN) exists in 1821897398 in HTML format HTML  |  1821897398 in plain Text format TXT  |  1821897398 in PDF (Portable Document Format) PDF  |  1821897398 in an XML format XML  formats.

NPI Number : 1821897398 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821897398",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WINANS",
    "FirstName": "LISETTE",
    "MiddleName": "VANESSA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 361095",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MELBOURNE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32936-1095",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "321-253-2900",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1051 PORT MALABAR BLVD NE STE 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM BAY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32905-5153",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "321-844-7001",
    "PracticeLocationAddressFaxNumber": "321-622-6544",
    "EnumerationDate": "03/10/2025",
    "LastUpdateDate": "05/30/2025",
    "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": "163WC0200X",
          "TaxonomyName": "Critical Care Medicine Registered Nurse",
          "LicenseNumber": "RN9332416",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APRN11039647",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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