SHABANA HAXTON RN NP NPI 1750958633

NPI Information

  • NPI: 1750958633
  • Provider Name: SHABANA HAXTON, RN, NP
  • Classification: Registered Nurse - 163WP0807X
  • Specialization: Psychiatric/Mental Health, Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1101 CALIFORNIA AVE STE 100
    CORONA, CA
    ZIP 92881
  • Phone: (951) 496-5238

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NPI Details

Shabana Haxton, RN, NP is a psychiatric/mental health and child and adolescent registered nurse in Corona, CA with 5 years of experience. Shabana Haxton, RN, NP NPI is 1750958633. 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:

1101 CALIFORNIA AVE STE 100
CORONA, CA
ZIP 92881-472
Phone: (951) 496-5238

The NPI 1750958633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2021 and was last updated on 8/12/2024.

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
1163WP0807XRegistered NursePsychiatric/Mental Health, Child & AdolescentNP95018274CALIFORNIAYes

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: 11/21/2025

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