MEDICARE: SHANAE MAPP NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61678091	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G183892	IA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN222470	GA
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024193493	VA
5	363LF0000X	Family Nurse Practitioner	RN222470	GA
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	TPAN3372	FL
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	406763	NY
8	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1771051	ID
9	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	101.0137802TELE	VT
10	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5023502	NC
11	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	L5-0000087	DE

General Provider Information

NPI Number	:	1023532231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANAE MAPP NP-C

Provider Business Mailing Address
First Line	:	5214F DIAMOND HEIGHTS BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-2175
Country	:	US
Telephone Number	:
Fax Number	:	404-868-8425

Provider Business Practice Location Address
First Line	:	5214F DIAMOND HEIGHTS BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-2175
Country	:	US
Telephone Number	:	415-360-3348
Fax Number	:	404-868-8425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2017
Last Update Date	:	12/09/2025

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