Provider Demographics
NPI:1770680282
Name:FLAGEOLE, JANET ELAINE (RN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ELAINE
Last Name:FLAGEOLE
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 1:222 N SANGAMON AVE
Mailing Address - Street 2:
Mailing Address - City:GIBSON CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60936
Mailing Address - Country:US
Mailing Address - Phone:217-784-8148
Mailing Address - Fax:217-784-8160
Practice Address - Street 1:222 N SANGAMON AVE
Practice Address - Street 2:
Practice Address - City:GIBSON CITY
Practice Address - State:IL
Practice Address - Zip Code:60936
Practice Address - Country:US
Practice Address - Phone:217-784-8148
Practice Address - Fax:217-784-8160
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse