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1841796604 NPI number — KEYNA GRAHAM-HEINE ARNP

NPI Number: 1841796604
Health Care Provider/Practitioner: KEYNA GRAHAM-HEINE ARNP

Information about “1841796604” NPI (KEYNA GRAHAM-HEINE ARNP) exists in 1841796604 in HTML format HTML  |  1841796604 in plain Text format TXT  |  1841796604 in PDF (Portable Document Format) PDF  |  1841796604 in an XML format XML  formats.

NPI Number : 1841796604 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841796604",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRAHAM-HEINE",
    "FirstName": "KEYNA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ARNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9116 GRAVELLY LAKE DR SW STE 107",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98499-3148",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-364-6054",
    "MailingAddressFaxNumber": "833-764-4009",
    "FirstLinePracticeLocationAddress": "9116 GRAVELLY LAKE DR SW STE 107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKEWOOD",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98499-3148",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-364-6054",
    "PracticeLocationAddressFaxNumber": "833-764-4009",
    "EnumerationDate": "04/02/2018",
    "LastUpdateDate": "01/27/2026",
    "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": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "AP60961405",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN00166072",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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