Healthcare Provider Details

I. General information

NPI: 1437403094
Provider Name (Legal Business Name): JANA E HIRTH MSN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2012
Last Update Date: 12/30/2022
Certification Date: 12/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2958 STATE ST
SANTA BARBARA CA
93105-3418
US

IV. Provider business mailing address

5708 HOLLISTER AVE # 163
GOLETA CA
93117-3482
US

V. Phone/Fax

Practice location:
  • Phone: 805-770-3700
  • Fax:
Mailing address:
  • Phone: 608-295-9885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.406186
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number235874
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number193387-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: