Provider Demographics
NPI:1194251264
Name:GAGLIARDI, JANET LYNN
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:GAGLIARDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61638 DALY ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-9670
Mailing Address - Country:US
Mailing Address - Phone:973-896-4914
Mailing Address - Fax:
Practice Address - Street 1:61638 DALY ESTATES DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-9670
Practice Address - Country:US
Practice Address - Phone:973-896-4914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-10
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR374J00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula