MEDICARE: SHAN KATHERINE HALEY R.N.

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	163W00000X	Registered Nurse	844782	CA

General Provider Information

NPI Number	:	1700293966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAN KATHERINE HALEY R.N.

Provider Business Mailing Address
First Line	:	7221 CINNABAR CT
Second Line	:
City	:	EL DORADO
State	:	CA
Zip	:	95623-4852
Country	:	US
Telephone Number	:	530-409-4433
Fax Number	:

Provider Business Practice Location Address
First Line	:	7221 CINNABAR CT
Second Line	:
City	:	EL DORADO
State	:	CA
Zip	:	95623-4852
Country	:	US
Telephone Number	:	530-409-4433
Fax Number	:

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

Provider Enumeration Date	:	07/18/2014
Last Update Date	:	07/18/2014

Similar Medicare Providers

1295379915 — JAZMIN VASQUEZ FNP-C
Practice Location Address:

1300 MURCHISON DR STE 312
EL PASO, TX
79902-4852

Practice Phone: 915-217-1107
Practice Fax:

1952489692 — CHARLES D. MOORE MD
Practice Location Address:

6296 CANARY LN
EL DORADO, CA
95623-4968

Practice Phone: 916-296-3529
Practice Fax:

1730245762 — MR. JOHN H. PROCK MFT
Practice Location Address:

6980 CRYSTAL BLVD
EL DORADO, CA
95623-4866

Practice Phone: 530-620-5577
Practice Fax:

1811196603 — MARTIN YABLONOVSKY D.C.
Practice Location Address:

6211B PLEASANT VALLEY RD
EL DORADO, CA
95623-4232

Practice Phone: 530-622-7600
Practice Fax:

1790921989 — PLEASANT VALLEY DENTAL
Practice Location Address:

6400 PLEASANT VALLEY RD
EL DORADO, CA
95623-4230

Practice Phone: 530-622-2862
Practice Fax: 530-622-2072

1558796854 — COURTNEY JEAN UPPENDAHL LMFT
Practice Location Address:

PO BOX 1312
EL DORADO, CA
95623-1312

Practice Phone: 530-497-0909
Practice Fax:

Directions to “ SHAN KATHERINE HALEY R.N.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.