Individual
JANIE M. WEEKS-LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
862 THE MASTERS BLVD, SHALIMAR, FL 32579-1664
(850) 651-6984
Mailing address
862 THE MASTERS BLVD, SHALIMAR, FL 32579-1664
(850) 651-6984
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1281222
FL
367500000X
Certified Registered Nurse Anesthetist
RN2299249
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110106610A
—
MA
Enumeration date
08/11/2005
Last updated
12/04/2020
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