Healthcare Provider Details

I. General information

NPI: 1609886340
Provider Name (Legal Business Name): JANET ALLEYNE ZALANSKAS APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 MAIN ST STE 307
WATERVILLE ME
04901-6672
US

IV. Provider business mailing address

179 MAIN ST STE 307
WATERVILLE ME
04901-6672
US

V. Phone/Fax

Practice location:
  • Phone: 207-616-0896
  • Fax: 207-616-3006
Mailing address:
  • Phone: 207-616-0896
  • Fax: 207-616-3006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR047012
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberAS084125
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberR047012
License Number StateME
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP081159
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: