Provider Demographics
NPI:1174908206
Name:CONLEY, JANET ELAINE (NP-C)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ELAINE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:ELAINE
Other - Last Name:GULLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REFFETT
Mailing Address - Street 1:PO BOX 1730
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1058
Mailing Address - Country:US
Mailing Address - Phone:760-568-2684
Mailing Address - Fax:760-341-5832
Practice Address - Street 1:39000 BOB HOPE DR, HIRSCHBERG BLG, STE 310
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3267
Practice Address - Country:US
Practice Address - Phone:760-568-2684
Practice Address - Fax:760-341-5832
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009134363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily