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NPI Code Detail

MEDICARE: JANET COLWELL

MEDICARE: JANET COLWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse285326NY

General Provider Information

NPI Number : 1538310263
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET COLWELL
Provider Business Mailing Address
First Line : 1660 NY RT 79
Second Line :
City : WINDSOR
State : NY
Zip : 13865-1703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 HARRY L DR
Second Line : OAKDALE 700, SUITE 120
City : JOHNSON CITY
State : NY
Zip : 13790-1145
Country : US
Telephone Number : 607-770-1125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2008
Last Update Date : 09/30/2008

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Directions to “ JANET COLWELL ” Practice Location

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