Provider Demographics
NPI:1457534935
Name:SHWALUK, JANIS M (MSN, CPNP)
Entity type:Individual
Prefix:MS
First Name:JANIS
Middle Name:M
Last Name:SHWALUK
Suffix:
Gender:F
Credentials:MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 617
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:NJ
Mailing Address - Zip Code:08230-0617
Mailing Address - Country:US
Mailing Address - Phone:609-624-9003
Mailing Address - Fax:609-624-9002
Practice Address - Street 1:2041 N ROUTE 9
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1162
Practice Address - Country:US
Practice Address - Phone:609-624-9003
Practice Address - Fax:609-624-9002
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN03679100163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics