Provider Demographics
NPI:1326502766
Name:ANNOR, JANET B (RN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:B
Last Name:ANNOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:3029 N ALMA SCHOOL RD STE 130
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-1474
Mailing Address - Country:US
Mailing Address - Phone:480-812-3680
Mailing Address - Fax:
Practice Address - Street 1:3029 N ALMA SCHOOL RD STE 130
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1474
Practice Address - Country:US
Practice Address - Phone:480-812-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN148632163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse