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Individual

AMBER NICOLE JANIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
E. HWY 18, 4500 HOSPITAL DRIVE, PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL, PINE RIDGE, SD 57770-1201
(605) 867-3056
Mailing address
PO BOX 1201, PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL, PINE RIDGE, SD 57770-1201
(605) 867-3056

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3018
AZ

Other

Enumeration date
07/28/2008
Last updated
12/28/2011
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