NPI Code Detail JSON Logo

1922649847 NPI number — MARCIE ANNE DANN NNP-BC

NPI Number: 1922649847
Health Care Provider/Practitioner: MARCIE ANNE DANN NNP-BC

Information about “1922649847” NPI (MARCIE ANNE DANN NNP-BC) exists in 1922649847 in HTML format HTML  |  1922649847 in plain Text format TXT  |  1922649847 in PDF (Portable Document Format) PDF  |  1922649847 in an XML format XML  formats.

NPI Number : 1922649847 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922649847",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DANN",
    "FirstName": "MARCIE",
    "MiddleName": "ANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "57 TAHOMA RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARANAC LAKE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12983-2313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-891-3798",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "43 NEW SCOTLAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBANY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12208-3478",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-262-7900",
    "PracticeLocationAddressFaxNumber": "518-262-5881",
    "EnumerationDate": "10/02/2019",
    "LastUpdateDate": "10/02/2019",
    "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": "363LN0000X",
          "TaxonomyName": "Neonatal Nurse Practitioner",
          "LicenseNumber": "350461",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LN0005X",
          "TaxonomyName": "Critical Care Neonatal Nurse Practitioner",
          "LicenseNumber": "350461",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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