Provider Demographics
NPI:1104847839
Name:BILLS, JANET P (CRNA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:P
Last Name:BILLS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:P
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNA
Mailing Address - Street 1:8333 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6050
Mailing Address - Country:US
Mailing Address - Phone:850-474-8100
Mailing Address - Fax:850-474-8083
Practice Address - Street 1:8333 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6050
Practice Address - Country:US
Practice Address - Phone:850-969-2121
Practice Address - Fax:850-969-2989
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR646059367500000X
FLARNP9250944367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS640507572NVOtherAMERICAN ADMIN GROUP
MS00118121Medicaid
430032321OtherRAILROAD MEDICARE
R16520Medicare UPIN
430032321OtherRAILROAD MEDICARE