Provider Demographics
NPI:1316208853
Name:DRAPER, JANEANN
Entity Type:Individual
Prefix:MRS
First Name:JANEANN
Middle Name:
Last Name:DRAPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 WEST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:VT
Mailing Address - Zip Code:84624
Mailing Address - Country:US
Mailing Address - Phone:435-864-2041
Mailing Address - Fax:435-864-2042
Practice Address - Street 1:234 MAIN ST.
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:VT
Practice Address - Zip Code:84624
Practice Address - Country:US
Practice Address - Phone:435-864-2041
Practice Address - Fax:435-864-2042
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2011-ALI-14508310400000X
310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility