Provider Demographics
NPI:1891723409
Name:HERTZLER, JANET G (FNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:G
Last Name:HERTZLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-9551
Mailing Address - Country:US
Mailing Address - Phone:317-867-2927
Mailing Address - Fax:317-867-2927
Practice Address - Street 1:420 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-9551
Practice Address - Country:US
Practice Address - Phone:317-867-2927
Practice Address - Fax:317-867-2927
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28053947A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily