Individual
JANICE GUALTIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5540 LINTON BLVD, SUITE 258, DELRAY BLEACH, FL 33484-6514
(561) 498-4440
(954) 938-0957
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ARNP1642052
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1642052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034797300
—
FL
01
—
G0244
BCBS OF FLORIDA
FL
01
—
P00282265
MEDICARE RAILROAD
FL
Enumeration date
01/16/2006
Last updated
08/11/2011
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