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1831170711 NPI number — DEBRA GAIL MAMMEN FNP-C

NPI Number: 1831170711
Health Care Provider/Practitioner: DEBRA GAIL MAMMEN FNP-C

Information about “1831170711” NPI (DEBRA GAIL MAMMEN FNP-C) exists in 1831170711 in HTML format HTML  |  1831170711 in plain Text format TXT  |  1831170711 in PDF (Portable Document Format) PDF  |  1831170711 in an XML format XML  formats.

NPI Number : 1831170711 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831170711",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAMMEN",
    "FirstName": "DEBRA",
    "MiddleName": "GAIL",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "931 W SHERRI DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GILBERT",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85233-7935",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-518-1488",
    "MailingAddressFaxNumber": "480-777-2331",
    "FirstLinePracticeLocationAddress": "3200 N DOBSON RD",
    "SecondLinePracticeLocationAddress": "SUITE F3",
    "PracticeLocationAddressCityName": "CHANDLER",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85224-9601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-838-4277",
    "PracticeLocationAddressFaxNumber": "480-777-2331",
    "EnumerationDate": "11/08/2005",
    "LastUpdateDate": "07/08/2007",
    "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": "AZ2171",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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