Provider Demographics
NPI:1437403094
Name:HIRTH, JANA E (MSN, CNM)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:E
Last Name:HIRTH
Suffix:
Gender:F
Credentials:MSN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5708 HOLLISTER AVE # 163
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-3482
Mailing Address - Country:US
Mailing Address - Phone:608-295-9885
Mailing Address - Fax:
Practice Address - Street 1:2958 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3418
Practice Address - Country:US
Practice Address - Phone:805-770-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.406186163W00000X
CA235874367A00000X
WI193387-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse