Provider Demographics
NPI:1295197234
Name:JANECKA, ALEXIS IVANS (FNP, WHNP)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:IVANS
Last Name:JANECKA
Suffix:
Gender:F
Credentials:FNP, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 S ADAMS COUNTY PKWY
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-8222
Mailing Address - Country:US
Mailing Address - Phone:720-369-5166
Mailing Address - Fax:
Practice Address - Street 1:4430 S ADAMS COUNTY PKWY
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-8222
Practice Address - Country:US
Practice Address - Phone:720-369-5166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008435363L00000X
CO0993233363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner