Provider Demographics
NPI:1396159802
Name:CAIRES, JANEL MARIE (FNP, BC)
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:MARIE
Last Name:CAIRES
Suffix:
Gender:F
Credentials:FNP, BC
Other - Prefix:
Other - First Name:JANEL
Other - Middle Name:CAIRES
Other - Last Name:ABUNASR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:619 N ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1704
Mailing Address - Country:US
Mailing Address - Phone:619-277-2541
Mailing Address - Fax:
Practice Address - Street 1:400 RENAISSANCE CTR STE 2600
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48243-1502
Practice Address - Country:US
Practice Address - Phone:619-277-2541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704258039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily