Healthcare Provider Details

I. General information

NPI: 1285662585
Provider Name (Legal Business Name): JANET BIENKOWSKI N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 01/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 AIRPORT PULLING RD N
NAPLES FL
34105-3076
US

IV. Provider business mailing address

3031 AIRPORT PULLING RD N
NAPLES FL
34105-3076
US

V. Phone/Fax

Practice location:
  • Phone: 239-659-2669
  • Fax: 239-659-2639
Mailing address:
  • Phone: 239-659-2669
  • Fax: 239-659-2639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9408069
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: