Provider Demographics
NPI:1275515660
Name:JANKIEWICZ, ROBINETTE LOUISE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ROBINETTE
Middle Name:LOUISE
Last Name:JANKIEWICZ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ROBINETTE
Other - Middle Name:LOUISE
Other - Last Name:TYLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1101 26TH STREET S.
Mailing Address - Street 2:BENEFIS
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404
Mailing Address - Country:US
Mailing Address - Phone:406-731-8755
Mailing Address - Fax:
Practice Address - Street 1:1101 26TH ST. S.
Practice Address - Street 2:BENEFIS
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405
Practice Address - Country:US
Practice Address - Phone:406-731-8755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-19
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2879367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered