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1841699295 NPI number — TONIA SHEALEY-MARINE LPN

NPI Number: 1841699295
Health Care Provider/Practitioner: TONIA SHEALEY-MARINE LPN

Information about “1841699295” NPI (TONIA SHEALEY-MARINE LPN) exists in 1841699295 in HTML format HTML  |  1841699295 in plain Text format TXT  |  1841699295 in PDF (Portable Document Format) PDF  |  1841699295 in an XML format XML  formats.

NPI Number : 1841699295 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841699295",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHEALEY-MARINE",
    "FirstName": "TONIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARINE",
    "OtherFirstName": "TONIA",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPN",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "120 ROSE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STOCKBRIDGE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30281-3162",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-779-2857",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "120 ROSE WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STOCKBRIDGE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30281-3162",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-779-2857",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2014",
    "LastUpdateDate": "08/21/2014",
    "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": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "LPN087067",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "164X00000X",
          "TaxonomyName": "Licensed Vocational Nurse",
          "LicenseNumber": "217206",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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