Provider Demographics
NPI:1851070585
Name:ONGATI, JANET ATIENO
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ATIENO
Last Name:ONGATI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 HELENS MANOR DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-3469
Mailing Address - Country:US
Mailing Address - Phone:678-644-3025
Mailing Address - Fax:
Practice Address - Street 1:235 HELENS MANOR DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-3469
Practice Address - Country:US
Practice Address - Phone:678-878-3215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN197046163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse