=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811400542
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANET FLINK APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/16/2017
-----------------------------------------------------
Last Update Date | 02/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1678 ASYLUM AVE
-----------------------------------------------------
City | WEST HARTFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06117-2764
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-231-5272
-----------------------------------------------------
Fax | 860-231-6794
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1678 ASYLUM AVE
-----------------------------------------------------
City | WEST HARTFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06117-2764
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-231-5272
-----------------------------------------------------
Fax | 860-231-6794
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LS0200X
-----------------------------------------------------
Taxonomy Name | School Nurse Practitioner
-----------------------------------------------------
License Number | 7259
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 7259
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------