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1902447477 NPI number — AMANDA KAY DYKES FNP-BC

NPI Number: 1902447477
Health Care Provider/Practitioner: AMANDA KAY DYKES FNP-BC

Information about “1902447477” NPI (AMANDA KAY DYKES FNP-BC) exists in 1902447477 in HTML format HTML  |  1902447477 in plain Text format TXT  |  1902447477 in PDF (Portable Document Format) PDF  |  1902447477 in an XML format XML  formats.

NPI Number : 1902447477 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902447477",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DYKES",
    "FirstName": "AMANDA",
    "MiddleName": "KAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DYKES",
    "OtherFirstName": "AMANDA",
    "OtherMiddleName": "KAY",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "AMANDA KAY STERKEL",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "623 HARRISON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOUGLAS",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "82633-2739",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-338-0273",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "111 S 5TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOUGLAS",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "82633",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-358-7300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/04/2019",
    "LastUpdateDate": "10/04/2019",
    "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": "44725",
        "LicenseNumberStateCode": "WY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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