Individual
MS. JANUS MAYBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1404 SE MILL ST, ROSEBURG, OR 97470-4008
(503) 704-1100
(541) 492-1339
Mailing address
1404 SE MILL ST, ROSEBURG, OR 97470-4008
(503) 704-1100
(541) 492-1339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
096007344N1
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200850154NP
OR
Other
Enumeration date
09/26/2005
Last updated
04/19/2012
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