Provider Demographics
NPI:1225256829
Name:VANDERHORST, JANICE HAUSFELD (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:HAUSFELD
Last Name:VANDERHORST
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 1:2904 YORK ST
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-2654
Mailing Address - Country:US
Mailing Address - Phone:419-586-8512
Mailing Address - Fax:419-586-8630
Practice Address - Street 1:2904 YORK ST
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-2654
Practice Address - Country:US
Practice Address - Phone:419-586-8512
Practice Address - Fax:419-586-8630
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-138537163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management