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1831319938 NPI number — ELIZABETH MCALLISTER NOLAN MD

NPI Number: 1831319938
Health Care Provider/Practitioner: ELIZABETH MCALLISTER NOLAN MD

Information about “1831319938” NPI (ELIZABETH MCALLISTER NOLAN MD) exists in 1831319938 in HTML format HTML  |  1831319938 in plain Text format TXT  |  1831319938 in PDF (Portable Document Format) PDF  |  1831319938 in an XML format XML  formats.

NPI Number : 1831319938 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831319938",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOLAN",
    "FirstName": "ELIZABETH",
    "MiddleName": "MCALLISTER",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NOLAN",
    "OtherFirstName": "BETSY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "725 NW 11TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OKLAHOMA CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73103-2429",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-278-8006",
    "MailingAddressFaxNumber": "405-290-7388",
    "FirstLinePracticeLocationAddress": "725 NW 11TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73103-2429",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-278-8006",
    "PracticeLocationAddressFaxNumber": "405-290-7388",
    "EnumerationDate": "04/30/2007",
    "LastUpdateDate": "12/06/2024",
    "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": "207X00000X",
        "TaxonomyName": "Orthopaedic Surgery Physician",
        "LicenseNumber": "MD18970",
        "LicenseNumberStateCode": "ME",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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