Provider Demographics
NPI:1417703711
Name:JANVIER, GOLDA AURORA (RN)
Entity type:Individual
Prefix:MRS
First Name:GOLDA
Middle Name:AURORA
Last Name:JANVIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:GOLDA
Other - Middle Name:AURORA
Other - Last Name:JANVIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2170 UNIVERSITY AVE APT 4P
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-1330
Mailing Address - Country:US
Mailing Address - Phone:646-363-4972
Mailing Address - Fax:
Practice Address - Street 1:2170 UNIVERSITY AVE APT 4P
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-1330
Practice Address - Country:US
Practice Address - Phone:646-363-4972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY560432-01163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty