Healthcare Provider Details

I. General information

NPI: 1275478521
Provider Name (Legal Business Name): KAREN A SHUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 CAPRI RD
ENCINITAS CA
92024-1299
US

IV. Provider business mailing address

8073 PASEO ARRAYAN
CARLSBAD CA
92009-6963
US

V. Phone/Fax

Practice location:
  • Phone: 760-944-4360
  • Fax:
Mailing address:
  • Phone: 760-504-6465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number769058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: