MEDICARE: JANICE ANN NEUBAUER ARNP, MSN

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
1	163WH0200X	Home Health Registered Nurse	1909092	FL

General Provider Information

NPI Number	:	1568898799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE ANN NEUBAUER ARNP, MSN

Provider Business Mailing Address
First Line	:	5503 SW 89TH AVE
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33328-5155
Country	:	US
Telephone Number	:	954-830-6849
Fax Number	:

Provider Business Practice Location Address
First Line	:	5503 SW 89TH AVE
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33328-5155
Country	:	US
Telephone Number	:	954-830-6849
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2013
Last Update Date	:	09/19/2013

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