Provider Demographics
NPI:1417519232
Name:DUGGAN, JANET ALTHEA (CNA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ALTHEA
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:ALTHEA
Other - Last Name:DUGGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSES AID
Mailing Address - Street 1:120 SPARROW DR APT 105
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1618
Mailing Address - Country:US
Mailing Address - Phone:561-337-4540
Mailing Address - Fax:
Practice Address - Street 1:120 SPARROW DR APT 105
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1618
Practice Address - Country:US
Practice Address - Phone:561-337-4540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL312415376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide