Provider Demographics
NPI:1730105446
Name:WALTERS, JANIS LOU (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:LOU
Last Name:WALTERS
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 1:2016 WOLVERHAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9290
Mailing Address - Country:US
Mailing Address - Phone:614-766-0285
Mailing Address - Fax:614-766-0285
Practice Address - Street 1:2016 WOLVERHAMPTON RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9290
Practice Address - Country:US
Practice Address - Phone:614-766-0285
Practice Address - Fax:614-766-0285
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 243823163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health