Healthcare Provider Details

I. General information

NPI: 1326430745
Provider Name (Legal Business Name): SHUNNA MCFARLAND RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2015
Last Update Date: 02/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2059 CAMDEN AVE # 306
SAN JOSE CA
95124-2024
US

IV. Provider business mailing address

1060 S 3RD ST APT 137
SAN JOSE CA
95112-3983
US

V. Phone/Fax

Practice location:
  • Phone: 510-552-5261
  • Fax:
Mailing address:
  • Phone: 404-788-3511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number682254
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number682254
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number682254
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number682254
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number682254
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number682254
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number682254
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: