MEDICARE: MS. NANCY DANZ SHEBEL MSN, RN, NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	13274	CA

General Provider Information

NPI Number	:	1225012776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY DANZ SHEBEL MSN, RN, NP-C

Provider Business Mailing Address
First Line	:	324 SAINT KATHERINE DR
Second Line	:
City	:	LA CANADA
State	:	CA
Zip	:	91011-4111
Country	:	US
Telephone Number	:	818-790-7220
Fax Number	:	818-952-1004

Provider Business Practice Location Address
First Line	:	1510 SAN PABLO ST
Second Line	:	SUITE 514
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-5320
Country	:	US
Telephone Number	:	323-442-5951
Fax Number	:	323-442-5735

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	11/12/2007

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