Provider Demographics
NPI:1235417536
Name:FLORES, JANET ELAINE (MA)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:ELAINE
Last Name:FLORES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:ELAINE
Other - Last Name:ROEHRMAN-FLORES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:146 S GRANITE ST
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-4710
Mailing Address - Country:US
Mailing Address - Phone:928-445-5400
Mailing Address - Fax:
Practice Address - Street 1:926 HINMAN ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1620
Practice Address - Country:US
Practice Address - Phone:928-717-3236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2545987174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist