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1871436139 NPI number — COLLETTE ALISHA ZACARIAS APRN-NP

NPI Number: 1871436139
Health Care Provider/Practitioner: COLLETTE ALISHA ZACARIAS APRN-NP

Information about “1871436139” NPI (COLLETTE ALISHA ZACARIAS APRN-NP) exists in 1871436139 in HTML format HTML  |  1871436139 in plain Text format TXT  |  1871436139 in PDF (Portable Document Format) PDF  |  1871436139 in an XML format XML  formats.

NPI Number : 1871436139 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871436139",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZACARIAS",
    "FirstName": "COLLETTE",
    "MiddleName": "ALISHA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN-NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DUFOUR",
    "OtherFirstName": "COLLETTE",
    "OtherMiddleName": "ALISHA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "631 JASON ST NE STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALEM",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97301-2357",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "971-273-0084",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "631 JASON ST NE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALEM",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97301-2357",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "971-273-0084",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/13/2026",
    "LastUpdateDate": "09/22/2026",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "10067465",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WE0003X",
          "TaxonomyName": "Emergency Registered Nurse",
          "LicenseNumber": "202009648RN",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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