Provider Demographics
NPI:1215380894
Name:GEORGE, JANICE M (CRNP)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:M
Last Name:GEORGE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 S BELLEFIELD AVE
Mailing Address - Street 2:DEPARTMENT OF HEALTH SERVICES, ROOM 430
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3552
Mailing Address - Country:US
Mailing Address - Phone:412-529-3942
Mailing Address - Fax:412-224-4748
Practice Address - Street 1:341 S BELLEFIELD AVE
Practice Address - Street 2:DEPARTMENT OF HEALTH SERVICES, ROOM 430
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3552
Practice Address - Country:US
Practice Address - Phone:412-529-3942
Practice Address - Fax:412-224-4748
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP003023B363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool