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1982640447 NPI number — REIDUN S FUEMMELER CRNA

NPI Number: 1982640447
Health Care Provider/Practitioner: REIDUN S FUEMMELER CRNA

Information about “1982640447” NPI (REIDUN S FUEMMELER CRNA) exists in 1982640447 in HTML format HTML  |  1982640447 in plain Text format TXT  |  1982640447 in PDF (Portable Document Format) PDF  |  1982640447 in an XML format XML  formats.

NPI Number : 1982640447 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982640447",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FUEMMELER",
    "FirstName": "REIDUN",
    "MiddleName": "S",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RUXLOW",
    "OtherFirstName": "REIDUN",
    "OtherMiddleName": "S",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8717 W 110TH ST STE 600",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OVERLAND PARK",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66210-2126",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "913-428-2900",
    "MailingAddressFaxNumber": "913-428-2951",
    "FirstLinePracticeLocationAddress": "17065 S OUTER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELTON",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64012-2165",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-348-1200",
    "PracticeLocationAddressFaxNumber": "913-428-2951",
    "EnumerationDate": "06/22/2006",
    "LastUpdateDate": "01/12/2024",
    "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": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "147423",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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