Healthcare Provider Details

I. General information

NPI: 1972075133
Provider Name (Legal Business Name): JANICE ANN TREIJS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2018
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 PETERS RD STE 1000
PLANTATION FL
33324-3266
US

IV. Provider business mailing address

7754 OKEECHOBEE BOULEVARD
WEST PALM BEACH FL
33411
US

V. Phone/Fax

Practice location:
  • Phone: 312-243-2223
  • Fax:
Mailing address:
  • Phone: 954-234-0429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3260152
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: