Provider Demographics
NPI:1982854931
Name:JANICH, ELIZABETH ANN (WHNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:JANICH
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12600 W COLFAX AVE STE A110
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-3785
Mailing Address - Country:US
Mailing Address - Phone:303-386-4434
Mailing Address - Fax:855-538-0330
Practice Address - Street 1:12600 W COLFAX AVE STE A110
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-3785
Practice Address - Country:US
Practice Address - Phone:303-386-4434
Practice Address - Fax:866-485-5094
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993829-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health