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1992107072 NPI number — ANGELA ELLANA CURTIS LPN

NPI Number: 1992107072
Health Care Provider/Practitioner: ANGELA ELLANA CURTIS LPN

Information about “1992107072” NPI (ANGELA ELLANA CURTIS LPN) exists in 1992107072 in HTML format HTML  |  1992107072 in plain Text format TXT  |  1992107072 in PDF (Portable Document Format) PDF  |  1992107072 in an XML format XML  formats.

NPI Number : 1992107072 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992107072",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CURTIS",
    "FirstName": "ANGELA",
    "MiddleName": "ELLANA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CURTIS-SCOTT, SAINT",
    "OtherFirstName": "ANGELA",
    "OtherMiddleName": "ELLANA",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LPN",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "320 LITTLETON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALEM",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29676-3701",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-965-8265",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "320 LITTLETON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALEM",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29676-3701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-965-8265",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/21/2014",
    "LastUpdateDate": "11/23/2021",
    "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": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "52789",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": "4703106271",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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