MEDICARE: JANET S. PLOSSER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	343015-1	NY

General Provider Information

NPI Number	:	1780851618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET S. PLOSSER RN

Provider Business Mailing Address
First Line	:	212 LOMBARD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-1605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 LOMBARD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-1605
Country	:	US
Telephone Number	:	215-238-0216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	05/09/2008

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