Individual
JANICE R RETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.296988
OH
363L00000X
Nurse Practitioner
4704288993
MI
363L00000X
Nurse Practitioner
Primary
APRN.CNP.12557
OH
363L00000X
Nurse Practitioner
Primary
COA.12557-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053248
—
OH
01
—
P00995410
RAILROAD MEDICARE
OH
Enumeration date
08/19/2011
Last updated
04/02/2026
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