Provider Demographics
NPI:1740327113
Name:CIPKALA-GAFFIN, JANET A (MN APRN)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:A
Last Name:CIPKALA-GAFFIN
Suffix:
Gender:F
Credentials:MN APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2523 MATTERHORN DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7963
Mailing Address - Country:US
Mailing Address - Phone:724-940-2363
Mailing Address - Fax:724-935-0968
Practice Address - Street 1:12300 PERRY HWY
Practice Address - Street 2:SUITE 309
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8379
Practice Address - Country:US
Practice Address - Phone:724-940-2363
Practice Address - Fax:724-935-0968
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN318606L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health