Provider Demographics
NPI:1245510635
Name:KHAUSLENDER, JANICE MARIE (NP)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:MARIE
Last Name:KHAUSLENDER
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 1:901 ARCOLA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3401
Mailing Address - Country:US
Mailing Address - Phone:216-870-8813
Mailing Address - Fax:
Practice Address - Street 1:901 ARCOLA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3401
Practice Address - Country:US
Practice Address - Phone:301-649-2400
Practice Address - Fax:301-649-2081
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.12459-NP363LA2200X
NC5006018363LA2200X
MDR232215363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health