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NPI Code Detail

MEDICARE: MS. NANCY SACHIE SHINOZUKA-JOHNSON AGPCNP-BC

MEDICARE: MS. NANCY SACHIE SHINOZUKA-JOHNSON AGPCNP-BC
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
1363LX0106XOccupational Health Nurse Practitioner0024177640VA
2363LA2200XAdult Health Nurse PractitionerR186063MD
3363LX0106XOccupational Health Nurse PractitionerR186063MD
4363LA2200XAdult Health Nurse Practitioner0024177640VA

General Provider Information

NPI Number : 1881224244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY SACHIE SHINOZUKA-JOHNSON AGPCNP-BC
Provider Business Mailing Address
First Line : 3259 CATLIN AVE
Second Line :
City : QUANTICO
State : VA
Zip : 22134-5109
Country : US
Telephone Number : 703-784-1528
Fax Number : 703-784-1530
Provider Business Practice Location Address
First Line : 3259 CATLIN AVE
Second Line :
City : QUANTICO
State : VA
Zip : 22134-5109
Country : US
Telephone Number : 703-784-1528
Fax Number : 703-784-1530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2020
Last Update Date : 03/11/2026

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