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1881902245 NPI number — NICOLE ANNE PONTIER ATC

NPI Number: 1881902245
Health Care Provider/Practitioner: NICOLE ANNE PONTIER ATC

Information about “1881902245” NPI (NICOLE ANNE PONTIER ATC) exists in 1881902245 in HTML format HTML  |  1881902245 in plain Text format TXT  |  1881902245 in PDF (Portable Document Format) PDF  |  1881902245 in an XML format XML  formats.

NPI Number : 1881902245 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881902245",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PONTIER",
    "FirstName": "NICOLE",
    "MiddleName": "ANNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SILVER",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 461",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEVADA",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50201-0461",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "515-382-3366",
    "MailingAddressFaxNumber": "515-382-1576",
    "FirstLinePracticeLocationAddress": "1507 N 1ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANOLA",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50125-3703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-961-7435",
    "PracticeLocationAddressFaxNumber": "515-961-7436",
    "EnumerationDate": "09/20/2010",
    "LastUpdateDate": "01/19/2012",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "00836",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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