Provider Demographics
NPI:1164511838
Name:JANES, MURIEL ANN (RN, CNS)
Entity Type:Individual
Prefix:MS
First Name:MURIEL
Middle Name:ANN
Last Name:JANES
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Gender:F
Credentials:RN, CNS
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Other - First Name:
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Mailing Address - Street 1:550 S VERMONT AVE
Mailing Address - Street 2:ROOM 703 A
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-1912
Mailing Address - Country:US
Mailing Address - Phone:213-738-2465
Mailing Address - Fax:213-351-2495
Practice Address - Street 1:550 S VERMONT AVE
Practice Address - Street 2:ROOM 703 A
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-1912
Practice Address - Country:US
Practice Address - Phone:213-738-2465
Practice Address - Fax:213-351-2495
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA168567364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health