Provider Demographics
NPI:1891703765
Name:DAILEY, JANET M (FNP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:M
Last Name:DAILEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:M
Other - Last Name:EHLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15397 STATE HIGHWAY 32
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:54138-9702
Mailing Address - Country:US
Mailing Address - Phone:715-276-6321
Mailing Address - Fax:715-276-1428
Practice Address - Street 1:15397 STATE HIGHWAY 32
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WI
Practice Address - Zip Code:54138-9702
Practice Address - Country:US
Practice Address - Phone:715-276-6321
Practice Address - Fax:715-276-1428
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI73753030163W00000X
WI1705033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse