Individual provider · NPI-1

Dr. Janice B Agazio, PhD, CRNP, RN

Nurse Practitioner, Pediatrics · Washington, DC

NPI number1699391938
StatusActive
Last updated in NPPESJun 23, 2020

Details

NPI
1699391938
Entity type
Individual (NPI-1)
Name
Dr. Janice B Agazio
Credential
PhD, CRNP, RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 23, 2020
Certification date
Jun 23, 2020
Last updated
Jun 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsR098860MDYes

Practice location

Conway School Of Nursing 620 Michigan Ave Ne
Washington, DC 20064-0001

Phone 202-319-5719 · Fax 202-319-6485

Mailing address

Conway School Of Nursing 620 Michigan Ave Ne
Washington, DC 20064-0001

Phone 202-319-5719

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