Healthcare Provider Details

I. General information

NPI: 1528324720
Provider Name (Legal Business Name): VERONICA JANHUNEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 09/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 ERRECART BLVD SUITE 202
ELKO NV
89801-8346
US

IV. Provider business mailing address

330 SEVEN SPRINGS WAY
BRENTWOOD TN
37027-5098
US

V. Phone/Fax

Practice location:
  • Phone: 775-738-3654
  • Fax:
Mailing address:
  • Phone: 615-920-7782
  • Fax: 615-920-8775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number15895
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: