Provider Demographics
NPI:1588696041
Name:KALMAN, JANICE (NMW1050, RN482476,)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:KALMAN
Suffix:
Gender:F
Credentials:NMW1050, RN482476,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 ESPLANADE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3367
Mailing Address - Country:US
Mailing Address - Phone:530-343-1200
Mailing Address - Fax:530-894-3107
Practice Address - Street 1:1645 ESPLANADE
Practice Address - Street 2:SUITE 4
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3367
Practice Address - Country:US
Practice Address - Phone:530-343-1200
Practice Address - Fax:530-894-3107
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN482476363LX0001X
CANMW1050367A00000X
CA482476 9473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGNMW00010Medicaid