Individual
JANINE MARIE PEISACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3300
Mailing address
9011 MAGRUDER KNOLLS CT, GAITHERSBURG, MD 20882-3034
(240) 498-6799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R154541
MD
367500000X
Certified Registered Nurse Anesthetist
RN961175
DC
Other
Enumeration date
10/12/2005
Last updated
09/21/2022
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