Individual
JANET L GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
899 E LAKE SHORE DR APT 2C, DECATUR, IL 62521-3380
(217) 428-7596
(217) 788-7071
Mailing address
899 E LAKE SHORE DR APT 2C, DECATUR, IL 62521-3380
(217) 428-7596
(217) 788-7071
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042096
CCNA CERTIFICATION
—
Enumeration date
03/31/2006
Last updated
08/02/2007
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