=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780726802
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANIE ARAMBARRI MSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 212 N 1ST AVE STE G101
-----------------------------------------------------
City | SANDPOINT
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83864-1400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 208-263-7180
-----------------------------------------------------
Fax | 208-255-2017
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1221 E INDIANA AVE
-----------------------------------------------------
City | COEUR D ALENE
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83814-4238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 208-664-8867
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | LMSW-25283
-----------------------------------------------------
License Number State | ID
-----------------------------------------------------