Janine Gundel, LLC
Nurse Practitioner, Psych/Mental Health in Southbury, CT. Organization (NPI-2).
NPI number1164024899
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1164024899
- Entity type
- Organization (NPI-2)
- Legal business name
- Janine Gundel, LLC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | – | – |
Practice location
188 Settlers Hill RdSouthbury, CT 06488-1850
Phone 415-717-7009 · Fax 506-934-4210
Mailing address
1416 Nw 46th St Ste 105Seattle, WA 98107-4622
Phone 415-717-7009 · Fax 506-934-4210
Other practice locations
3443 21st Ave W
Seattle, WA 98199-2304
Seattle, WA 98199-2304
Phone 415-717-7009 · Fax 506-934-4210
Authorized official
Janine Gundel
Owner
4157177009
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