Healthcare Provider Details

I. General information

NPI: 1316003387
Provider Name (Legal Business Name): JANET KERTIS FRONK APRNBC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 NEWTON ST
WESTON MA
02493-2311
US

IV. Provider business mailing address

22 NEWTON ST
WESTON MA
02493-2311
US

V. Phone/Fax

Practice location:
  • Phone: 617-373-9990
  • Fax: 781-891-1184
Mailing address:
  • Phone: 781-891-1164
  • Fax: 781-891-1184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number97698
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: