Healthcare Provider Details

I. General information

NPI: 1124891254
Provider Name (Legal Business Name): JANET LYNN DANOWSKI REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2621 NE 134TH ST STE 140
VANCOUVER WA
98686-3036
US

IV. Provider business mailing address

2621 NE 134TH ST STE 140
VANCOUVER WA
98686-3036
US

V. Phone/Fax

Practice location:
  • Phone: 360-504-0122
  • Fax:
Mailing address:
  • Phone: 360-504-0122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number61332836
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: