Provider Demographics
NPI:1053448001
Name:VANDERWERF, JANICE C (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:C
Last Name:VANDERWERF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 E 20TH AVE
Mailing Address - Street 2:DEPT 2096, NEUROLOGY
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5423
Mailing Address - Country:US
Mailing Address - Phone:303-861-3380
Mailing Address - Fax:303-861-3385
Practice Address - Street 1:1375 E 20TH AVE
Practice Address - Street 2:DEPT 2096, NEUROLOGY
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5423
Practice Address - Country:US
Practice Address - Phone:303-861-3380
Practice Address - Fax:303-861-3385
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111886163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
009486OtherKAISER-COMMERCIAL NUMBER