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1902941693 NPI number — TERRI DENISE MYERS ANP

NPI Number: 1902941693
Health Care Provider/Practitioner: TERRI DENISE MYERS ANP

Information about “1902941693” NPI (TERRI DENISE MYERS ANP) exists in 1902941693 in HTML format HTML  |  1902941693 in plain Text format TXT  |  1902941693 in PDF (Portable Document Format) PDF  |  1902941693 in an XML format XML  formats.

NPI Number : 1902941693 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902941693",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MYERS",
    "FirstName": "TERRI",
    "MiddleName": "DENISE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ANP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MYERS",
    "OtherFirstName": "THERESA",
    "OtherMiddleName": "D.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN, MSN, CANP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "35 MONTE VISTA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEDONA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86336-5464",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "520-921-0024",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "35 MONTE VISTA LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEDONA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86336-5464",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-921-0024",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/20/2007",
    "LastUpdateDate": "05/13/2009",
    "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": "363LA2200X",
        "TaxonomyName": "Adult Health Nurse Practitioner",
        "LicenseNumber": "AP0293",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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