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Individual

MRS. JANEEN E. CONSTANTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
106 IRVING ST NW, STE 2700N, WASHINGTON, DC 20010-2927
(202) 723-5524
(202) 291-0512
Mailing address
106 IRVING ST NW, STE 2700N, WASHINGTON, DC 20010-2927
(202) 723-5524
(202) 291-0512

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
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