Provider Demographics
NPI:1215242441
Name:OSKAR, JANICE ELAINE (NURSE PRACTIONER/BC)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:ELAINE
Last Name:OSKAR
Suffix:
Gender:F
Credentials:NURSE PRACTIONER/BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BROADWAY (HEALTH QUARTERS)
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-922-4490
Mailing Address - Fax:978-922-5904
Practice Address - Street 1:19 BROADWAY
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4417
Practice Address - Country:US
Practice Address - Phone:978-922-4490
Practice Address - Fax:978-922-5904
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81315363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner