Provider Demographics
NPI:1487625117
Name:NEVIN, JANICE E (MD)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:E
Last Name:NEVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 N WASHINGTON ST
Mailing Address - Street 2:WILMINGTON HOSPITAL ANNEX, SUITE 300
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1024
Mailing Address - Country:US
Mailing Address - Phone:302-477-3300
Mailing Address - Fax:302-477-3311
Practice Address - Street 1:1400 N WASHINGTON ST
Practice Address - Street 2:WILMINGTON HOSPITAL ANNEX, SUITE 300
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1024
Practice Address - Country:US
Practice Address - Phone:302-477-3300
Practice Address - Fax:302-477-3311
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC10006622207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE010183C00Medicare PIN
DEE98976Medicare UPIN