Healthcare Provider Details

I. General information

NPI: 1497963219
Provider Name (Legal Business Name): JANET GIUNTA FLECKER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MORROW WAY 204 CAMPUS DRIVE
SLIPPERY ROCK PA
16057-1314
US

IV. Provider business mailing address

810 YELLOW CREEK RD
PROSPECT PA
16052-2816
US

V. Phone/Fax

Practice location:
  • Phone: 724-738-2052
  • Fax: 724-738-2078
Mailing address:
  • Phone: 724-865-2146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP000612C
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP000612C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: