Provider Demographics
NPI:1447588090
Name:BIANCARDI, JANET LEE (NP)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:LEE
Last Name:BIANCARDI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 839
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-0839
Mailing Address - Country:US
Mailing Address - Phone:434-447-7765
Mailing Address - Fax:434-447-4011
Practice Address - Street 1:140 E FERRELL ST
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-2102
Practice Address - Country:US
Practice Address - Phone:434-447-7765
Practice Address - Fax:434-447-4011
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169945363LW0102X
NVAPN001129163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory