Individual
MRS. JANEEN E. CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN43233
DC
363LA2200X
Adult Health Nurse Practitioner
RN43233
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001787C29
INDIV MEDICARE
MD
01
—
066M
MEDICARE GROUP
MD
01
—
409629
MEDICARE GROUP
DC
01
—
CD0361
RAILROAD MEDICARE GROUP
MD
Enumeration date
08/30/2006
Last updated
10/24/2007
Update your record
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