Putnam, Janice L

Putnam, Janice L is an individual health care provider with primary practice located at 641 W Warner Rd , Gilbert AZ 85233-7266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Putnam, Janice L can be contacted via phone (480) 722-9828.

Contact Information

Primary practice address
641 W Warner Rd Gilbert AZ 85233-7266
Fax: (480) 722-9831
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN047681 Arizona

Profile Details

NPI number 1205897543
LBN Legal business name Putnam, Janice L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Aug 25th, 2015 - about 9 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 1205897543 NPPES
Arizona MEDICAID 578403

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