Healthcare Provider Details

I. General information

NPI: 1841818598
Provider Name (Legal Business Name): HANNAH OJALA WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 EDITH AVE STE B
REDDING CA
96001-3056
US

IV. Provider business mailing address

2626 EDITH AVE STE B
REDDING CA
96001-3056
US

V. Phone/Fax

Practice location:
  • Phone: 530-244-2130
  • Fax:
Mailing address:
  • Phone: 530-244-2130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95017096
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2335004
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: