Provider Demographics
NPI:1639339161
Name:BARONDEAU, JANET ANN (RN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ANN
Last Name:BARONDEAU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US HWY 18
Mailing Address - Street 2:
Mailing Address - City:PINERIDGE
Mailing Address - State:SD
Mailing Address - Zip Code:57770
Mailing Address - Country:US
Mailing Address - Phone:605-867-5131
Mailing Address - Fax:605-867-3333
Practice Address - Street 1:US HWY 18
Practice Address - Street 2:
Practice Address - City:PINERIDGE
Practice Address - State:SD
Practice Address - Zip Code:57770
Practice Address - Country:US
Practice Address - Phone:605-867-3007
Practice Address - Fax:605-867-3335
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSDRNR014324163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient