Individual
DENISE LOUISE JANICEK
Active
Individual
DENISE LOUISE JANICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N15758
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA542
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430079011
RAILROAD MEDICARE
ID
05
—
806480500
—
ID
Enumeration date
05/25/2006
Last updated
08/03/2016
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