Provider Demographics
NPI:1518304997
Name:COURCHAINE, JANICE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIE
Last Name:COURCHAINE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9527 E MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4058
Mailing Address - Country:US
Mailing Address - Phone:509-220-8786
Mailing Address - Fax:509-279-2375
Practice Address - Street 1:9527 E MISSION AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4058
Practice Address - Country:US
Practice Address - Phone:509-220-8786
Practice Address - Fax:509-279-2375
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-26
Last Update Date:2013-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00163673163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA707219OtherPROVIDER NUMBER