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1871839878 NPI number — ELIZABETH A BAUMSTARK APN

NPI Number: 1871839878
Health Care Provider/Practitioner: ELIZABETH A BAUMSTARK APN

Information about “1871839878” NPI (ELIZABETH A BAUMSTARK APN) exists in 1871839878 in HTML format HTML  |  1871839878 in plain Text format TXT  |  1871839878 in PDF (Portable Document Format) PDF  |  1871839878 in an XML format XML  formats.

NPI Number : 1871839878 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871839878",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAUMSTARK",
    "FirstName": "ELIZABETH",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CARNEY",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "330 23RD AVE N",
    "SecondLineMailingAddress": "SUITE 300",
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37203-1534",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-342-6010",
    "MailingAddressFaxNumber": "615-342-7898",
    "FirstLinePracticeLocationAddress": "330 23RD AVE N",
    "SecondLinePracticeLocationAddress": "SUITE 300",
    "PracticeLocationAddressCityName": "NASHVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37203-1534",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-342-6010",
    "PracticeLocationAddressFaxNumber": "615-342-7898",
    "EnumerationDate": "12/19/2012",
    "LastUpdateDate": "12/07/2015",
    "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": "17165",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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