Provider Demographics
NPI:1952580896
Name:ROOP, JANICE ARLENE (RN, BS, CHPN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:ARLENE
Last Name:ROOP
Suffix:
Gender:F
Credentials:RN, BS, CHPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16907 MAPLES RD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46773-9778
Mailing Address - Country:US
Mailing Address - Phone:260-623-6891
Mailing Address - Fax:
Practice Address - Street 1:16907 MAPLES RD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:IN
Practice Address - Zip Code:46773-9778
Practice Address - Country:US
Practice Address - Phone:260-623-6891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-28
Last Update Date:2007-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28072443A163W00000X, 163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH1000XNursing Service ProvidersRegistered NurseHospice