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Individual

ANDRIA RENAE JANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING, 9TH FLOOR, NORTH, PHILADELPHIA, PA 19107-3323
(267) 425-9300

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
CCNA086945
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN549919
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206092EJL
MEDICARE PTAN
PA
Enumeration date
12/06/2010
Last updated
01/28/2020
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