Healthcare Provider Details

I. General information

NPI: 1023211455
Provider Name (Legal Business Name): JANET STOIA DAVIS RN CWOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18038 TWIN LAKES DR
RIVERSIDE CA
92508-8899
US

IV. Provider business mailing address

18038 TWIN LAKES DR
RIVERSIDE CA
92508-8899
US

V. Phone/Fax

Practice location:
  • Phone: 951-756-2202
  • Fax: 951-776-2374
Mailing address:
  • Phone: 951-756-2202
  • Fax: 951-776-2374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number322168
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License Number322168
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: