Healthcare Provider Details

I. General information

NPI: 1568366615
Provider Name (Legal Business Name): JANET WHYWAEPO-SHEBA STROTHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 CHALLENGER WAY
SANTA ROSA CA
95407-5458
US

IV. Provider business mailing address

2141 CHOKEBERRY CT
SANTA ROSA CA
95404-7001
US

V. Phone/Fax

Practice location:
  • Phone: 707-565-4130
  • Fax: 707-565-6900
Mailing address:
  • Phone: 707-565-4130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number667279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: