Individual
CHELSEA L JANISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1322 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-2176
Mailing address
1322 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-2176
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP012666
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10333200
—
PA
Enumeration date
12/31/2012
Last updated
08/07/2019
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