Provider Demographics
NPI:1194726497
Name:CHEVARIE, JANET (ARNP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:CHEVARIE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-2006
Mailing Address - Country:US
Mailing Address - Phone:603-752-2040
Mailing Address - Fax:603-752-7797
Practice Address - Street 1:133 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-2006
Practice Address - Country:US
Practice Address - Phone:603-752-2040
Practice Address - Fax:603-752-7797
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH01521823363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
020350051OtherFEDERAL TAX ID
NH3071863Medicaid
NH30005540Medicaid
NH4008425Y0NH01OtherANTHEM BC/BS
NH1600910OtherCIGNA HEALTHCARE
NH01521823OtherSTATE LICENSE #
5830418OtherAETNA GROUP
5830418OtherAETNA GROUP
NH30005540Medicaid
NH3071863Medicaid