Basic Information
Provider Information
NPI: 1437403094
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HIRTH
FirstName: JANA
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MSN, CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5040
Address2:  
City: OROVILLE
State: CA
PostalCode: 959660040
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2809 OLIVE HWY STE 320
Address2:  
City: OROVILLE
State: CA
PostalCode: 959666135
CountryCode: US
TelephoneNumber: 5305328181
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/05/2012
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X193387-30WIN Nursing Service ProvidersRegistered Nurse 
163W00000X041.406186ILN Nursing Service ProvidersRegistered Nurse 
367A00000X235874CAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


Home