Janet Elaine Eveland

Individual provider Active NPI Licensed Practical Nurse · Shamokin, PA

NPI 1780801043 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1780801043
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN094716L (PA)
Practice address
1003 N Shamokin St
Shamokin, PA 17872-4629
Phone
(570) 648-7029
NPI assigned
Apr 19, 2007
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
PN094716LPAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN094716L PA Yes

Addresses

Primary practice location

1003 N Shamokin St
Shamokin, PA 17872-4629

Mailing address

1003 N Shamokin St
Shamokin, PA 17872-4629
Phone (570) 648-7029

Other providers in Shamokin, PA

All providers in Shamokin, PA · Licensed Practical Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.