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NPI Code Detail

MEDICARE: SHAUNA SIMPSON

MEDICARE:   SHAUNA  SIMPSON
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95037643CA
2163W00000XRegistered Nurse775269CA

General Provider Information

NPI Number : 1417821679
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAUNA SIMPSON
Provider Business Mailing Address
First Line : 10639 WOODBRIDGE ST UNIT 103
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91602-2880
Country : US
Telephone Number : 913-908-7075
Fax Number :
Provider Business Practice Location Address
First Line : 10639 WOODBRIDGE ST UNIT 103
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91602-2880
Country : US
Telephone Number : 913-908-7075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2025
Last Update Date : 12/03/2025

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Directions to “ SHAUNA SIMPSON ” Practice Location

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