Provider Demographics
NPI:1568898799
Name:NEUBAUER, JANICE ANN (ARNP, MSN)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:ANN
Last Name:NEUBAUER
Suffix:
Gender:F
Credentials:ARNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5503 SW 89TH AVE
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5155
Mailing Address - Country:US
Mailing Address - Phone:954-830-6849
Mailing Address - Fax:
Practice Address - Street 1:5503 SW 89TH AVE
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-5155
Practice Address - Country:US
Practice Address - Phone:954-830-6849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1909092163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health