Doctor Name: | MRS. JANIS MARIE WOESNER |
NPI Number: | 1083801732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 17319 |
Business Practice Address: | 260 Hospital Dr. Suite 209 Ukiah, CA - 95482 |
Business Phone Number: | 7074638024 |
Business Fax Number: | |
Mailing Address: | 260 Hospital Dr., Suite 209 UKIAH |
State: | CA |
Postal Code: | 95482 |
Phone Number: | 7074638000 |
Fax Number: | 7074621111 |
NPI Enumeration Date: | 09/26/2007 |
NPI Last Update Date: | 11/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 17319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |