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1912777012 NPI number — ESTHER ROSALIE SUELO VERA CRUZ

NPI Number: 1912777012
Health Care Provider/Practitioner: ESTHER ROSALIE SUELO VERA CRUZ

Information about “1912777012” NPI (ESTHER ROSALIE SUELO VERA CRUZ) exists in 1912777012 in HTML format HTML  |  1912777012 in plain Text format TXT  |  1912777012 in PDF (Portable Document Format) PDF  |  1912777012 in an XML format XML  formats.

NPI Number : 1912777012 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912777012",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VERA CRUZ",
    "FirstName": "ESTHER ROSALIE",
    "MiddleName": "SUELO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VERA CRUZ",
    "OtherFirstName": "ESTHER",
    "OtherMiddleName": "SUELO",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LVN",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "8688 BELLA SPARKLE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89178-7567",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-888-3227",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8688 BELLA SPARKLE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89178-7567",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "661-888-3227",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/09/2024",
    "LastUpdateDate": "01/09/2024",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "87326",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "87326",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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