Provider Demographics
NPI:1609134477
Name:SIRSTINS, JANET H (RN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:H
Last Name:SIRSTINS
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 1:615 ARAPEEN DR
Mailing Address - Street 2:SUITE #100
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1267
Mailing Address - Country:US
Mailing Address - Phone:801-587-3962
Mailing Address - Fax:801-587-3930
Practice Address - Street 1:615 ARAPEEN DR
Practice Address - Street 2:SUITE #100
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-1267
Practice Address - Country:US
Practice Address - Phone:801-587-3962
Practice Address - Fax:801-587-3930
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT212832-3102163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator