SHANTEL ANNETTE LUCIANO PMHNP NPI 1376252817

NPI Information

NPI: 1376252817
Provider Name: SHANTEL ANNETTE LUCIANO, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
20351 SW ACACIA ST
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 706-4764
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Shantel Annette Luciano, PMHNP is a psychiatric/mental health nurse practitioner in Newport Beach, CA. Shantel Annette Luciano, PMHNP NPI is 1376252817. 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:

20351 SW ACACIA ST
NEWPORT BEACH, CA
ZIP 92660-527
Phone: (949) 706-4764

The enumeration date for this NPI number is 11/22/2022 and was last updated on 12/13/2022.

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	163W00000X	Registered Nurse		720050	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95023601	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: 5/5/2024

NPI Synchronization or Removal

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