Provider Demographics
NPI:1932706033
Name:TORRICO-WOO, JANETTE (MSN, RN, CNS-BC)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:
Last Name:TORRICO-WOO
Suffix:
Gender:F
Credentials:MSN, RN, CNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30243 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-6799
Mailing Address - Country:US
Mailing Address - Phone:586-873-1732
Mailing Address - Fax:
Practice Address - Street 1:18101 OAKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-4089
Practice Address - Country:US
Practice Address - Phone:586-873-1732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704202726NSA18603364S00000X
MI4704202726163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical