Harriette Xaveria Janssen, RRT

Individual provider Active NPI Registered Respiratory Therapist · Little Chute, WI

NPI 1366717068 · NPPES record last updated Mar 13, 2012

Key facts

NPI
1366717068
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
1210-28 (WI)
Practice address
1809 Roosevelt St
Little Chute, WI 54140-1234
Phone
(920) 788-9630
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1210-28WIMDRegistered Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 1210-28 WI Yes

Addresses

Primary practice location

1809 Roosevelt St
Little Chute, WI 54140-1234

Mailing address

1809 Roosevelt St
Little Chute, WI 54140-1234

Other providers in Little Chute, WI

All providers in Little Chute, WI · Registered Respiratory Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.