Provider Demographics
NPI:1215103932
Name:JANECEK, ANA MARIA (MSN, NNP-BC)
Entity type:Individual
Prefix:MISS
First Name:ANA
Middle Name:MARIA
Last Name:JANECEK
Suffix:
Gender:F
Credentials:MSN, NNP-BC
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Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:SPRINGBROOK #4500 BUILDING
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-2394
Mailing Address - Fax:206-987-4126
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:SPRINGBROOK #4500 BUILDING
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-2394
Practice Address - Fax:206-987-4126
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000011747363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8874087Medicare PIN
WAG8878218Medicare PIN