Healthcare Provider Details
I. General information
NPI: 1659106979
Provider Name (Legal Business Name): SHAYLEN DOSS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/05/2024
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2320 BATH ST STE 301
SANTA BARBARA CA
93105-4345
US
IV. Provider business mailing address
2320 BATH ST STE 301
SANTA BARBARA CA
93105-4345
US
V. Phone/Fax
- Phone: 805-708-2837
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 95029645 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: