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NPI Code Detail

MEDICARE: MISS SHANA RENEE DOOLIN F.N.P.

MEDICARE: MISS SHANA RENEE DOOLIN F.N.P.
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
1363L00000XNurse Practitioner16037CA
2363LF0000XFamily Nurse PractitionerNP16037CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1487671OTHERCACALIFORNIA BOARD OF REGISTERED NURSING
2NP 16037OTHERCACALIFORNIA BOARD OF REGISTERED NURSING

General Provider Information

NPI Number : 1811138712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHANA RENEE DOOLIN F.N.P.
Provider Business Mailing Address
First Line : 31292 ALPINE MEADOWS RD
Second Line :
City : SHINGLETOWN
State : CA
Zip : 96088-9462
Country : US
Telephone Number : 530-474-3390
Fax Number : 530-474-4899
Provider Business Practice Location Address
First Line : 1275 THARP RD
Second Line :
City : YUBA CITY
State : CA
Zip : 95993-2645
Country : US
Telephone Number : 530-749-3242
Fax Number : 530-749-3248
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2009
Last Update Date : 06/22/2021

Similar Medicare Providers

1184624744 — DR. MELINDA ASTRAN MD
Practice Location Address:
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1730110487 — DR. TEJINDER PAL SINGH GHUMAN M.D.
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1164447447 — CHARLES GERARD KRYSKI M.D.
Practice Location Address:
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Practice Fax:
1245314624 — MRS. SUMIT JOHL MD
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95993-2645
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Practice Fax: 530-749-3248
1811175821 — DIANA FRANCO MD
Practice Location Address:
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1982876082 — KHALDOUN ALKAYED
Practice Location Address:
1275 THARP RD
YUBA CITY, CA
95993-2645
Practice Phone: 530-749-3242
Practice Fax: 530-749-3248

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