Doctor Name: | MRS. JANIS ARLENE WETHERHULT |
NPI Number: | 1457627184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 475179-1 |
Business Practice Address: | 237 Letson Rd Mooers, NY - 129584139 |
Business Phone Number: | 5182367724 |
Business Fax Number: | |
Mailing Address: | 237 Letson Rd, MOOERS |
State: | NY |
Postal Code: | 129584139 |
Phone Number: | 5182367724 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 475179-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |