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1992901482 NPI number — ERIKA RENEE CERANOWSKI CRNA, NP

NPI Number: 1992901482
Health Care Provider/Practitioner: ERIKA RENEE CERANOWSKI CRNA, NP

Information about “1992901482” NPI (ERIKA RENEE CERANOWSKI CRNA, NP) exists in 1992901482 in HTML format HTML  |  1992901482 in plain Text format TXT  |  1992901482 in PDF (Portable Document Format) PDF  |  1992901482 in an XML format XML  formats.

NPI Number : 1992901482 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992901482",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CERANOWSKI",
    "FirstName": "ERIKA",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA, NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1544 GLENLAKE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NICEVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32578-3825",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-857-6197",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8383 N DAVIS HWY",
    "SecondLinePracticeLocationAddress": "ANESTHESIA DEPARTMENT",
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32514-6039",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-494-4000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/22/2007",
    "LastUpdateDate": "01/25/2021",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "721508",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "9370330",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "9370330",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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