Janicek, Denise Louise

Janicek, Denise Louise is an individual health care provider with primary practice located at 338 E Bannock St , Boise ID 83712-6207. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Janicek, Denise Louise can be contacted via phone (208) 336-0895.

Contact Information

Primary practice address
338 E Bannock St Boise ID 83712-6207
Phone: (208) 336-0895
Fax: (208) 338-1796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X N15758 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA542 Idaho

Profile Details

NPI number 1477509057
LBN Legal business name Janicek, Denise Louise
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 3rd, 2016 - 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 1477509057 NPPES
Idaho MEDICAID 806480500
Idaho Other 430079011

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