Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0127X | Trauma Surgeon | 0010-11047 | NC |
NPI | 1366066177 |
---|---|
Provider Name | Brittany Lynn Janofski |
First Address | Charlotte, NC 28260-3949 |
Second Address | Raleigh, NC 27610-1247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2020 |
Last Update Date | 18/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1366066177 | (05) | NC |