Individual
JANUS ALLEN FLORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3050
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011060A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300049598
—
IN
Enumeration date
01/14/2021
Last updated
04/28/2023
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