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1891074647 NPI number — AUDREY RENEE BROYER PHARMD

NPI Number: 1891074647
Health Care Provider/Practitioner: AUDREY RENEE BROYER PHARMD

Information about “1891074647” NPI (AUDREY RENEE BROYER PHARMD) exists in 1891074647 in HTML format HTML  |  1891074647 in plain Text format TXT  |  1891074647 in PDF (Portable Document Format) PDF  |  1891074647 in an XML format XML  formats.

NPI Number : 1891074647 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891074647",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROYER",
    "FirstName": "AUDREY",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COURCHESNE",
    "OtherFirstName": "AUDREY",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "718 SMYTH RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANCHESTER",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03104-7007",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-624-4366",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "718 SMYTH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANCHESTER",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03104-7007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-624-4366",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/10/2011",
    "LastUpdateDate": "04/08/2020",
    "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": "1835P0018X",
        "TaxonomyName": "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
        "LicenseNumber": "3702",
        "LicenseNumberStateCode": "NH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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