NPI Code Detail JSON Logo

1861704967 NPI number — MARCIE JOANNE BRAZER

NPI Number: 1861704967
Health Care Provider/Practitioner: MARCIE JOANNE BRAZER

Information about “1861704967” NPI (MARCIE JOANNE BRAZER) exists in 1861704967 in HTML format HTML  |  1861704967 in plain Text format TXT  |  1861704967 in PDF (Portable Document Format) PDF  |  1861704967 in an XML format XML  formats.

NPI Number : 1861704967 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861704967",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRAZER",
    "FirstName": "MARCIE",
    "MiddleName": "JOANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "178 BAYBERRY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CRANBERRY TOWNSHIP",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16066-3108",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-452-0881",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1130 PERRY HWY",
    "SecondLinePracticeLocationAddress": "SUITE 35",
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15237-2142",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-369-4267",
    "PracticeLocationAddressFaxNumber": "412-369-8041",
    "EnumerationDate": "07/06/2010",
    "LastUpdateDate": "07/06/2010",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "RP-039260-L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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