Provider Demographics
NPI:1962617803
Name:BOHMULLER, JANET ANDREWS (RN, CCM)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ANDREWS
Last Name:BOHMULLER
Suffix:
Gender:F
Credentials:RN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 POINT RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28570-6134
Mailing Address - Country:US
Mailing Address - Phone:252-240-1478
Mailing Address - Fax:
Practice Address - Street 1:CHERRY POINT NAVAL HOSPITAL
Practice Address - Street 2:BLDG. 4389
Practice Address - City:CHERRY POINT
Practice Address - State:NC
Practice Address - Zip Code:28533
Practice Address - Country:US
Practice Address - Phone:252-466-0266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC119224163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management