Healthcare Provider Details

I. General information

NPI: 1871538934
Provider Name (Legal Business Name): JAN LYNN SHRINER R.N., CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 MIRANDA AVE MAIL CODE 112E
PALO ALTO CA
94304-1207
US

IV. Provider business mailing address

35 HOBART AVE
SAN MATEO CA
94402-2805
US

V. Phone/Fax

Practice location:
  • Phone: 650-493-5000
  • Fax: 650-852-3430
Mailing address:
  • Phone: 650-522-9970
  • Fax: 650-522-9970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number472805
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: