Provider Demographics
NPI:1376071084
Name:JANO, NICOLE ALLISON (LPN)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ALLISON
Last Name:JANO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:ALLISON
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:378 WELSH HILL RD
Mailing Address - Street 2:
Mailing Address - City:FRIEDENS
Mailing Address - State:PA
Mailing Address - Zip Code:15541-8222
Mailing Address - Country:US
Mailing Address - Phone:814-289-7857
Mailing Address - Fax:
Practice Address - Street 1:645 RODI RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-4564
Practice Address - Country:US
Practice Address - Phone:412-723-2775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN298632164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse