Provider Demographics
NPI:1063665347
Name:SERRAHN, JANET K (RN)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:K
Last Name:SERRAHN
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 1:235 S. 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:STURGEON BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54235-2610
Mailing Address - Country:US
Mailing Address - Phone:920-743-8393
Mailing Address - Fax:
Practice Address - Street 1:235 S. 8TH AVE
Practice Address - Street 2:
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235-2610
Practice Address - Country:US
Practice Address - Phone:920-743-8393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI121871-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse