Provider Demographics
NPI:1508464769
Name:PRITCHARD, JANET
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:PRITCHARD
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 1:7257 99TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:MOTT
Mailing Address - State:ND
Mailing Address - Zip Code:58646-9267
Mailing Address - Country:US
Mailing Address - Phone:719-314-9126
Mailing Address - Fax:
Practice Address - Street 1:7257 99TH AVE SW
Practice Address - Street 2:
Practice Address - City:MOTT
Practice Address - State:ND
Practice Address - Zip Code:58646-9267
Practice Address - Country:US
Practice Address - Phone:719-314-9126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-10
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant