| Doctor Name: | MRS. JANICE M LIBERG |
| NPI Number: | 1245529932 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, CRNP,PNP-BC |
| License Number: | SP010891 |
| Business Practice Address: | 1077 Rydal Rd Rydal, PA - 190461712 |
| Business Phone Number: | 2155720425 |
| Business Fax Number: | 2155725929 |
| Mailing Address: | 1077 Rydal Rd, RYDAL |
| State: | PA |
| Postal Code: | 190461712 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2011 |
| NPI Last Update Date: | 04/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | SP010891 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |