MEDICARE: MRS. JANET VAN EPPS N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	539492	CA

General Provider Information

NPI Number	:	1194817353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANET VAN EPPS N.P.

Provider Business Mailing Address
First Line	:	33801 BLESSINGTON LN
Second Line	:
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-4958
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 STUDENT HEALTH
Second Line	:	UCI
City	:	IRVINE
State	:	CA
Zip	:	92697-5200
Country	:	US
Telephone Number	:	949-824-7658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/08/2007

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