Provider Demographics
NPI:1144823105
Name:JANKOWIAK, AURORA VICTORIA (DNP)
Entity type:Individual
Prefix:DR
First Name:AURORA
Middle Name:VICTORIA
Last Name:JANKOWIAK
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MRS
Other - First Name:AURORA
Other - Middle Name:JANKOWIAK
Other - Last Name:TANCILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 392929
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9900
Mailing Address - Country:US
Mailing Address - Phone:713-461-2915
Mailing Address - Fax:713-461-5307
Practice Address - Street 1:7111 MEDICAL CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2667
Practice Address - Country:US
Practice Address - Phone:409-948-8521
Practice Address - Fax:713-461-5307
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1138773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily