Provider Demographics
NPI:1407836497
Name:PIAZZA, JANET F (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:F
Last Name:PIAZZA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:F
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 235022
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36123-5022
Mailing Address - Country:US
Mailing Address - Phone:334-386-2051
Mailing Address - Fax:334-396-6929
Practice Address - Street 1:701 PRINCETON AVE SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211
Practice Address - Country:US
Practice Address - Phone:205-783-3144
Practice Address - Fax:205-783-3195
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1039063367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000071404Medicaid
AL000071404Medicare ID - Type Unspecified
AL000071404Medicaid