Provider Demographics
NPI:1982851374
Name:CHRISTMAN, JANET MARIE (NP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:CHRISTMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3673
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106-3673
Mailing Address - Country:US
Mailing Address - Phone:734-973-0710
Mailing Address - Fax:734-973-0595
Practice Address - Street 1:3100 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5131
Practice Address - Country:US
Practice Address - Phone:734-973-0710
Practice Address - Fax:734-973-0595
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704198938207V00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology