Healthcare Provider Details

I. General information

NPI: 1265366470
Provider Name (Legal Business Name): SHAYLA PIRRONE CROWELL MS, CNS-CANDIDATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1183 SAXONY RD
ENCINITAS CA
92024-2226
US

IV. Provider business mailing address

1183 SAXONY RD
ENCINITAS CA
92024-2226
US

V. Phone/Fax

Practice location:
  • Phone: 415-302-9369
  • Fax:
Mailing address:
  • Phone: 415-302-9369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: