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1902240369 NPI number — ELSIE ENYONAM GLASU-ATUNUWA RN

NPI Number: 1902240369
Health Care Provider/Practitioner: ELSIE ENYONAM GLASU-ATUNUWA RN

Information about “1902240369” NPI (ELSIE ENYONAM GLASU-ATUNUWA RN) exists in 1902240369 in HTML format HTML  |  1902240369 in plain Text format TXT  |  1902240369 in PDF (Portable Document Format) PDF  |  1902240369 in an XML format XML  formats.

NPI Number : 1902240369 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902240369",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GLASU-ATUNUWA",
    "FirstName": "ELSIE",
    "MiddleName": "ENYONAM",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GLASU",
    "OtherFirstName": "ENYONAM",
    "OtherMiddleName": "ELSIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9114 HIGHLAND STAR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78254-4603",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-225-3625",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10717 170TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JAMAICA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11433-2408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-225-3625",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/29/2013",
    "LastUpdateDate": "04/02/2025",
    "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": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": "883777",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "655909",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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