| Organization Name: | JANICE HANSEN MD |
| NPI Number: | 1255722856 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANICE HANSEN (MD OB GYN) |
| Mailing Address: | 290 Crystal Springs Rd Saint Helena |
| State: | CA US |
| Postal Code: | 945749664 |
| Phone Number: | 4157936354 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2015 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 85962 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |