Provider Demographics
NPI:1235571167
Name:MEDA, JANET (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:MEDA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX Y
Mailing Address - Street 2:
Mailing Address - City:PIXLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93256-1025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX Y
Practice Address - Street 2:
Practice Address - City:PIXLEY
Practice Address - State:CA
Practice Address - Zip Code:93256-1025
Practice Address - Country:US
Practice Address - Phone:559-757-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23309363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA23309OtherCALIFORNIA BOARD OF REGISTERED NURSING- FNP
CA81026OtherCALIFORNIA BOARD OF REGISTERED NURSING- PHN
CA604684OtherCALIFORNIA BOARD OF REGISTERED NURSING- RN
CA604684OtherCALIFORNIA BOARD OF REGISTERED NURSING- RN