Janicek, Patricia Berta

Janicek, Patricia Berta is an individual health care provider with primary practice located at 6301 S Mcclintock Dr Suite 215, Tempe AZ 85283-3392. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Janicek, Patricia Berta can be contacted via phone (480) 820-6657.

Contact Information

Primary practice address
6301 S Mcclintock Dr Suite 215 Tempe AZ 85283-3392
Phone: (480) 820-6657
Fax: (480) 730-0803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP3592 Arizona

Profile Details

NPI number 1437473717
LBN Legal business name Janicek, Patricia Berta
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2010
Last updated Dec 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437473717 NPPES
Arizona MEDICAID 554968

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