Healthcare Provider Details

I. General information

NPI: 1821571753
Provider Name (Legal Business Name): LUPE SHAFER RN, P.N.P., MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2018
Last Update Date: 09/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9121 ROAD 240
TERRA BELLA CA
93270-9423
US

IV. Provider business mailing address

9121 ROAD 240
TERRA BELLA CA
93270-9423
US

V. Phone/Fax

Practice location:
  • Phone: 559-535-4451
  • Fax:
Mailing address:
  • Phone: 559-535-4451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number350407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: