Provider Demographics
NPI:1285662585
Name:BIENKOWSKI, JANET (NP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:BIENKOWSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 AIRPORT PULLING RD N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-3076
Mailing Address - Country:US
Mailing Address - Phone:239-659-2669
Mailing Address - Fax:239-659-2639
Practice Address - Street 1:3031 AIRPORT PULLING RD N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-3076
Practice Address - Country:US
Practice Address - Phone:239-659-2669
Practice Address - Fax:239-659-2639
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9408069363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIT204ZMedicare UPIN
NY2E2161OtherEMPIRE BC.BS
NYP29864Medicare UPIN
NY2E2161Medicare ID - Type Unspecified