Provider Demographics
NPI:1073764734
Name:HESLER, JANICE MARIE (MS, RNC, CNM, NPP)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIE
Last Name:HESLER
Suffix:
Gender:F
Credentials:MS, RNC, CNM, NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6508 VOSBURGH RD
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12009-3807
Mailing Address - Country:US
Mailing Address - Phone:518-356-0505
Mailing Address - Fax:
Practice Address - Street 1:423A NEW KARNER RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-5801
Practice Address - Country:US
Practice Address - Phone:518-713-4703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401182-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health