Provider Demographics
NPI:1578017604
Name:JANAS, BROOKE (WHNP)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:JANAS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 W REID AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6582
Mailing Address - Country:US
Mailing Address - Phone:308-534-0090
Mailing Address - Fax:
Practice Address - Street 1:810 W REID AVE STE 4
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6582
Practice Address - Country:US
Practice Address - Phone:308-534-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112084363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health