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1831766047 NPI number — KATHIE BROOKE PROPER

NPI Number: 1831766047
Health Care Provider/Practitioner: KATHIE BROOKE PROPER

Information about “1831766047” NPI (KATHIE BROOKE PROPER) exists in 1831766047 in HTML format HTML  |  1831766047 in plain Text format TXT  |  1831766047 in PDF (Portable Document Format) PDF  |  1831766047 in an XML format XML  formats.

NPI Number : 1831766047 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831766047",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PROPER",
    "FirstName": "KATHIE",
    "MiddleName": "BROOKE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PURCELL",
    "OtherFirstName": "KATHIE",
    "OtherMiddleName": "BROOKE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "600 IVY ST STE 206",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELMIRA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14905-1627",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "607-271-2050",
    "MailingAddressFaxNumber": "607-271-2071",
    "FirstLinePracticeLocationAddress": "600 FITCH ST STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELMIRA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14905-1634",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "607-734-6544",
    "PracticeLocationAddressFaxNumber": "607-734-6580",
    "EnumerationDate": "06/07/2021",
    "LastUpdateDate": "12/12/2025",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "347767",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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