Provider Demographics
NPI:1760562888
Name:SETNOR, JANET LINDA (CRNA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LINDA
Last Name:SETNOR
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7766 CAMP DAVID DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-2370
Mailing Address - Country:US
Mailing Address - Phone:703-866-4195
Mailing Address - Fax:
Practice Address - Street 1:1825 SAMUEL MORSE DR
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5317
Practice Address - Country:US
Practice Address - Phone:703-893-6168
Practice Address - Fax:703-790-5451
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164029367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered