Provider Demographics
NPI:1598154130
Name:TATONETTI, JANICE CAPUNDAG (RN)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:CAPUNDAG
Last Name:TATONETTI
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 1:470 KENWOOD DR APT D
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-2051
Mailing Address - Country:US
Mailing Address - Phone:440-479-8108
Mailing Address - Fax:
Practice Address - Street 1:470 KENWOOD DR APT D
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-2051
Practice Address - Country:US
Practice Address - Phone:440-479-8108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH409963163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse