Provider Demographics
NPI:1922192285
Name:MUDARRI, JANET HUNT (RN MS CRRN)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:HUNT
Last Name:MUDARRI
Suffix:
Gender:F
Credentials:RN MS CRRN
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Mailing Address - Street 1:150 S HUNTINGTON AVE
Mailing Address - Street 2:6D
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4817
Mailing Address - Country:US
Mailing Address - Phone:857-364-4809
Mailing Address - Fax:857-364-4454
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:6D
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-4809
Practice Address - Fax:857-364-4454
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA88281163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN