Provider Demographics
NPI:1770949380
Name:KUBERA, JANET (FNP-BC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:KUBERA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 SILVER FOX DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44230-9614
Mailing Address - Country:US
Mailing Address - Phone:330-714-8297
Mailing Address - Fax:
Practice Address - Street 1:1365 KELSO RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-8209
Practice Address - Country:US
Practice Address - Phone:330-676-0488
Practice Address - Fax:330-676-0720
Is Sole Proprietor?:No
Enumeration Date:2016-01-12
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.18489363LF0000X
OHCOA.18489-NP163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily