IndividualActive
Beth Janick, CNS NO APRN
NPI 1073626057 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · East Lansing, MI
Provider details
- NPI number
- 1073626057
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- CNS NO APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704194601 (MI)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 4704194601 (MI)
Nursing Service Providers
Practice location
4572 S Hagadorn Rd
Suite 3b
East Lansing, MI 48823-5385
Phone: (517) 410-0729
Fax: (517) 999-3317
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 10
Mason, MI 48854-0010
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.