Basic Information
| Provider Information | |||||||||
| NPI: | 1003278276 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHANCE-HETZLER | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP, MSN, RN, APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 62 TALMAGE RD | ||||||||
| Address2: | |||||||||
| City: | MENDHAM | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079451511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5732282191 | ||||||||
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| Practice Location | |||||||||
| Address1: | 601 E 14TH ST | ||||||||
| Address2: | |||||||||
| City: | SEDALIA | ||||||||
| State: | MO | ||||||||
| PostalCode: | 653015972 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6608268833 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2016 | ||||||||
| LastUpdateDate: | 03/25/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SA2200X | 2015042056 | MO | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Adult Health |
No ID Information.