Doctor Name: | JANICE DEHART |
NPI Number: | 1669527081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 113289 |
Business Practice Address: | 46 Woburn St Reading, MA - 018672901 |
Business Phone Number: | 7819440600 |
Business Fax Number: | 7819420253 |
Mailing Address: | 46 Woburn St, READING |
State: | MA |
Postal Code: | 018672901 |
Phone Number: | 7819440600 |
Fax Number: | 7819420253 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 113289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |