Basic Information
Provider Information
NPI: 1255872735
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BILOTTI
FirstName: JANICE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4444 CALLE REAL
Address2: BEHAVIORAL WELLNESS
City: SANTA BARBARA
State: CA
PostalCode: 931101002
CountryCode: US
TelephoneNumber: 8056815190
FaxNumber: 8056815239
Practice Location
Address1: 4444 CALLE REAL
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 93110
CountryCode: US
TelephoneNumber: 8056815190
FaxNumber: 8056815239
Other Information
ProviderEnumerationDate: 03/16/2017
LastUpdateDate: 03/16/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X515778CAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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