Healthcare Provider Details

I. General information

NPI: 1891817730
Provider Name (Legal Business Name): JANET KOWALSKI A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 S CONGRESS AVE
BOYNTON BEACH FL
33426-5876
US

IV. Provider business mailing address

437 NE PECOS WAY
JENSEN BEACH FL
34957-6692
US

V. Phone/Fax

Practice location:
  • Phone: 561-734-4545
  • Fax:
Mailing address:
  • Phone: 772-334-2934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberARNP 3173142
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: