Provider Demographics
NPI:1972075133
Name:TREIJS, JANICE ANN (FNP-BC)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:ANN
Last Name:TREIJS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3361 NW 78TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5453
Mailing Address - Country:US
Mailing Address - Phone:954-803-0742
Mailing Address - Fax:
Practice Address - Street 1:7421 N UNIVERSITY DR STE 206
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2953
Practice Address - Country:US
Practice Address - Phone:954-724-7410
Practice Address - Fax:954-724-7412
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3260152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily