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Individual
DR. JANETTE M ZDANUK DODD
Active
Individual
DR. JANETTE M ZDANUK DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, CWS
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
445715
TX
363LF0000X
Family Nurse Practitioner
445715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01269303
AMERIGROUP
TX
01
—
1122640-04
MEDICAID TPI
TX
01
—
8F21186
MEDICARE ID
TX
Enumeration date
08/11/2005
Last updated
05/01/2023
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