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1831407196 NPI number — LAURA LOUISE DEJULIA CRNP

NPI Number: 1831407196
Health Care Provider/Practitioner: LAURA LOUISE DEJULIA CRNP

Information about “1831407196” NPI (LAURA LOUISE DEJULIA CRNP) exists in 1831407196 in HTML format HTML  |  1831407196 in plain Text format TXT  |  1831407196 in PDF (Portable Document Format) PDF  |  1831407196 in an XML format XML  formats.

NPI Number : 1831407196 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831407196",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEJULIA",
    "FirstName": "LAURA",
    "MiddleName": "LOUISE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PASQUERILLA",
    "OtherFirstName": "LAURA",
    "OtherMiddleName": "LOUISE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2395 GARDEN WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HERMITAGE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16148-5209",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-347-1861",
    "MailingAddressFaxNumber": "724-347-2532",
    "FirstLinePracticeLocationAddress": "2395 GARDEN WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HERMITAGE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "16148-5209",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-347-1861",
    "PracticeLocationAddressFaxNumber": "724-347-2532",
    "EnumerationDate": "09/21/2010",
    "LastUpdateDate": "10/05/2010",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "SP010972",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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