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1932543436 NPI number — SLYVIA MUTHONI WAWERU CRNP

NPI Number: 1932543436
Health Care Provider/Practitioner: SLYVIA MUTHONI WAWERU CRNP

Information about “1932543436” NPI (SLYVIA MUTHONI WAWERU CRNP) exists in 1932543436 in HTML format HTML  |  1932543436 in plain Text format TXT  |  1932543436 in PDF (Portable Document Format) PDF  |  1932543436 in an XML format XML  formats.

NPI Number : 1932543436 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932543436",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WAWERU",
    "FirstName": "SLYVIA",
    "MiddleName": "MUTHONI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WAWERU",
    "OtherFirstName": "SYLVIA",
    "OtherMiddleName": "MUTHONI",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "825 OAK LEAF CIR APT C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BIRMINGHAM",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35209-6038",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-807-3564",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1300 BESSEMER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BIRMINGHAM",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35208-4326",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-428-9179",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/26/2013",
    "LastUpdateDate": "04/26/2013",
    "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": "1-112253",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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