Individual
JANICE POWER VANWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5261
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN173593
MA
363LA2200X
Adult Health Nurse Practitioner
003421
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11613998
CAQH
CT
Enumeration date
08/16/2006
Last updated
12/24/2013
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