Provider Demographics
NPI:1518207877
Name:SPINI, JANE MONTGOMERY (RN)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:MONTGOMERY
Last Name:SPINI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 EDGEWOOD ROAD
Mailing Address - Street 2:HUMBOLDT DEL NORTE FOUNDATION FOR MEDICAL CARE
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-1395
Mailing Address - Country:US
Mailing Address - Phone:707-443-4563
Mailing Address - Fax:707-443-2527
Practice Address - Street 1:3100 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-2775
Practice Address - Country:US
Practice Address - Phone:707-443-4563
Practice Address - Fax:707-443-2527
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA576449163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management