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Individual

JANIS CARMODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
100 BROOKSBY VILLAGE DR, PEABODY, MA 01960-1438
(978) 536-7850
(877) 280-9727
Mailing address
5525 RESEARCH PARK DR FL 4, BALTIMORE, MD 21228-4873
(978) 536-7850
(877) 280-9727

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
117989
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0706329
MA
01
8302607
EVERCARE
01
NP2494
BCBS MA
Enumeration date
07/02/2006
Last updated
12/05/2014
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