MEDICARE: MRS. JANET ROSEMARIE THORPE ARNP

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	363LA2200X	Adult Health Nurse Practitioner	ARNP9177833	FL

General Provider Information

NPI Number	:	1861787442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANET ROSEMARIE THORPE ARNP

Provider Business Mailing Address
First Line	:	3330 NW 33RD AVE
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33309-5518
Country	:	US
Telephone Number	:	954-298-2177
Fax Number	:

Provider Business Practice Location Address
First Line	:	3330 NW 33 AVE
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33309-5518
Country	:	US
Telephone Number	:	954-298-2177
Fax Number	:

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

Provider Enumeration Date	:	06/13/2011
Last Update Date	:	06/13/2011

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