ATHERINE DANICE SHACKELFORD LVNRN NPI 1245732858

NPI Information

NPI: 1245732858
Provider Name: ATHERINE DANICE SHACKELFORD, LVN,RN
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
909 PICO BLVD
SANTA MONICA, CA
ZIP 90405
Phone: (310) 314-6200
Get Directions

Atherine Danice Shackelford, LVN,RN is a medical-surgical registered nurse in Santa Monica, CA. Atherine Danice Shackelford, LVN,RN NPI is 1245732858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

909 PICO BLVD
SANTA MONICA, CA
ZIP 90405-326
Phone: (310) 314-6200

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	95152474	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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