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1871302190 NPI number — KIMBERLY ANN BLANCHARD APRN

NPI Number: 1871302190
Health Care Provider/Practitioner: KIMBERLY ANN BLANCHARD APRN

Information about “1871302190” NPI (KIMBERLY ANN BLANCHARD APRN) exists in 1871302190 in HTML format HTML  |  1871302190 in plain Text format TXT  |  1871302190 in PDF (Portable Document Format) PDF  |  1871302190 in an XML format XML  formats.

NPI Number : 1871302190 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871302190",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BLANCHARD",
    "FirstName": "KIMBERLY",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAPONE",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "10667 MYSTIC SEAPORT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89129-3240",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-468-4784",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6316 S RAINBOW BLVD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89118-3233",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-310-9350",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/01/2025",
    "LastUpdateDate": "01/01/2025",
    "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": "885178",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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