Provider Demographics
NPI:1447250840
Name:LITTLE, JANET (CNM)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:LITTLE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 KINGWOOD MEDICAL DR STE B300
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6017
Mailing Address - Country:US
Mailing Address - Phone:281-359-2229
Mailing Address - Fax:281-359-8823
Practice Address - Street 1:201 KINGWOOD MEDICAL DR STE B300
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6017
Practice Address - Country:US
Practice Address - Phone:281-359-2229
Practice Address - Fax:281-359-8823
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX577865367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80398MMedicare ID - Type UnspecifiedMEDICARE HARRIS COUNTY