Provider Demographics
NPI:1073311841
Name:BOOZE, JANET
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:BOOZE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 W 16TH ST APT 4C
Mailing Address - Street 2:
Mailing Address - City:WAHOO
Mailing Address - State:NE
Mailing Address - Zip Code:68066-1049
Mailing Address - Country:US
Mailing Address - Phone:402-719-7518
Mailing Address - Fax:
Practice Address - Street 1:575 W 16TH ST APT 4C
Practice Address - Street 2:
Practice Address - City:WAHOO
Practice Address - State:NE
Practice Address - Zip Code:68066-1049
Practice Address - Country:US
Practice Address - Phone:402-719-7518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion