Janie Southern, CRT
Respiratory Therapist, Certified in Nampa, ID. Individual provider (NPI-1).
NPI number1982206439
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1982206439
- Entity type
- Individual (NPI-1)
- Name
- Janie Southern
- Credential
- CRT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2020
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227800000X | Respiratory Therapist, Certified | LRT-1366 | ID | Yes |
Practice location
1616 E Plaza LoopNampa, ID 83687-4931
Phone 208-287-1733 · Fax 208-287-1734
Mailing address
1616 E Plaza LoopNampa, ID 83687-4931
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