Provider Demographics
NPI:1538422001
Name:ROXBOROUGH, JANET ANNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ANNE
Last Name:ROXBOROUGH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2642
Mailing Address - Country:US
Mailing Address - Phone:508-942-1482
Mailing Address - Fax:508-586-9316
Practice Address - Street 1:500 BELMONT ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4985
Practice Address - Country:US
Practice Address - Phone:508-427-8525
Practice Address - Fax:508-586-9316
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA120310163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse