Provider Demographics
NPI:1740230796
Name:FLYNN, JANET HOYT (CNS, NP-C)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:HOYT
Last Name:FLYNN
Suffix:
Gender:F
Credentials:CNS, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W SIERRA MADRE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-2020
Mailing Address - Country:US
Mailing Address - Phone:626-963-1107
Mailing Address - Fax:626-812-8181
Practice Address - Street 1:1111 W 3RD ST
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-3328
Practice Address - Country:US
Practice Address - Phone:626-812-2282
Practice Address - Fax:626-812-8181
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA173589146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate