Healthcare Provider Details

I. General information

NPI: 1386430544
Provider Name (Legal Business Name): JANET MUSA RN, MSN, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N MARS ST
WICHITA KS
67212-5965
US

IV. Provider business mailing address

109 N MARS ST
WICHITA KS
67212-5965
US

V. Phone/Fax

Practice location:
  • Phone: 832-419-0215
  • Fax:
Mailing address:
  • Phone: 832-419-0215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9673808
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: