Provider Demographics
NPI:1457526261
Name:SPANTON, JANET LYNN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LYNN
Last Name:SPANTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:SPANTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13105 N OREGON AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-3351
Mailing Address - Country:US
Mailing Address - Phone:813-935-3336
Mailing Address - Fax:
Practice Address - Street 1:13105 N OREGON AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-3351
Practice Address - Country:US
Practice Address - Phone:813-935-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2834662367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered