Provider Demographics
NPI:1659361038
Name:WAFER, JANET A (FNP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:A
Last Name:WAFER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:735 ANDERSON HILL RD
Mailing Address - Street 2:SHS
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-1402
Mailing Address - Country:US
Mailing Address - Phone:914-251-6380
Mailing Address - Fax:914-251-6388
Practice Address - Street 1:735 ANDERSON HILL RD
Practice Address - Street 2:SHS
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-1402
Practice Address - Country:US
Practice Address - Phone:914-251-6380
Practice Address - Fax:914-251-6388
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY332430363LF0000X
CT002761363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily