Healthcare Provider Details

I. General information

NPI: 1295996387
Provider Name (Legal Business Name): AIMEE NICOLE SHIPLEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 06/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 RALEY BLVD STE 100
CHICO CA
95928-8351
US

IV. Provider business mailing address

1531 ESPLANADE ATTN: FINANCE
CHICO CA
95926-3310
US

V. Phone/Fax

Practice location:
  • Phone: 530-894-8800
  • Fax: 530-894-8929
Mailing address:
  • Phone: 530-332-7479
  • Fax: 530-893-6853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberFNP 14961
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: