Healthcare Provider Details

I. General information

NPI: 1649314360
Provider Name (Legal Business Name): JANET F WHITTET
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 MOHAWK DR
BOULDER CO
80303-3712
US

IV. Provider business mailing address

1580 CHEETAH PL
LOVELAND CO
80537-3739
US

V. Phone/Fax

Practice location:
  • Phone: 303-554-8102
  • Fax:
Mailing address:
  • Phone: 970-663-1861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number91576
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: