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NPI Code Detail

MEDICARE: DR. JANICE C. STINSON RN

MEDICARE: DR. JANICE C. STINSON RN
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
1163WP1700XPerinatal Registered Nurse422985CA

General Provider Information

NPI Number : 1659342525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANICE C. STINSON RN
Provider Business Mailing Address
First Line : 9 DRESDEN BAY
Second Line :
City : ALAMEDA
State : CA
Zip : 94502-6536
Country : US
Telephone Number : 510-769-8961
Fax Number : 510-864-8920
Provider Business Practice Location Address
First Line : 2450 ASHBY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94705-2067
Country : US
Telephone Number : 510-204-1572
Fax Number : 510-548-2160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 07/08/2007

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