Healthcare Provider Details

I. General information

NPI: 1902197718
Provider Name (Legal Business Name): JANICE ELAINE SEMLER RNC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 04/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WYOMING ST
DAYTON OH
45409-2722
US

IV. Provider business mailing address

1 WYOMING ST
DAYTON OH
45409-2722
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-2288
  • Fax: 937-341-8721
Mailing address:
  • Phone: 937-208-2288
  • Fax: 937-341-8721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License Number120590
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: