SHANNON D STADELMANN FNP NPI 1922553908

NPI Information

NPI: 1922553908
Provider Name: SHANNON D STADELMANN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
477 N EL CAMINO REAL
SUITE 208A
ENCINITAS, CA
ZIP 92024
Phone: (760) 479-3900
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Shannon D Stadelmann, FNP is a family nurse practitioner in Encinitas, CA. Shannon D Stadelmann, FNP NPI is 1922553908. 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:

477 N EL CAMINO REAL
SUITE 208A
ENCINITAS, CA
ZIP 92024-328
Phone: (760) 479-3900
Fax: (760) 634-4845

The enumeration date for this NPI number is 8/19/2016 and was last updated on 3/28/2019.

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	363LF0000X	Nurse Practitioner	Family	95004762	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: 4/28/2024

NPI Synchronization or Removal

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