1174855902 NPI number — MRS. JANET MICHELLE DOWNING FNP

Table of content: MRS. JANET MICHELLE DOWNING FNP (NPI 1174855902)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174855902 NPI number — MRS. JANET MICHELLE DOWNING FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOWNING
Provider First Name:
JANET
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BREUER
Provider Other First Name:
JANET
Provider Other Middle Name:
MICHELLE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1174855902
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1050 GALLOPING HILL RD
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
UNION
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07083-7983
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-688-1550
Provider Business Mailing Address Fax Number:
908-688-1552

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 GALLOPING HILL RD
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
UNION
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07083-7983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-688-1550
Provider Business Practice Location Address Fax Number:
908-688-1552
Provider Enumeration Date:
02/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  26NJ00279900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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