Provider Demographics
NPI:1336581628
Name:NOBERT, JANET ANN (RN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ANN
Last Name:NOBERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:CROTTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:201 29TH ST
Mailing Address - Street 2:STE B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3288
Mailing Address - Country:US
Mailing Address - Phone:916-446-6921
Mailing Address - Fax:916-446-0640
Practice Address - Street 1:1691 THE ALAMEDA
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2203
Practice Address - Country:US
Practice Address - Phone:408-795-3619
Practice Address - Fax:408-287-0405
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA211569163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse