Individual
JANET LEE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
(440) 951-1914
Mailing address
3382 GRAHAM ROAD, ROCK CREEK, OH 44084-9748
(440) 474-4406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
09222
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2716047
—
OH
Enumeration date
02/08/2007
Last updated
11/13/2012
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