SHANNON ROSE MADRU NPI 1871442921

NPI Information

  • NPI: 1871442921
  • Provider Name: SHANNON ROSE MADRU
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 8421 FOREST PARK ST
    CHINO, CA
    ZIP 91708
  • Phone: (562) 367-1574

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NPI Details

Shannon Rose Madru is a family nurse practitioner in Chino, CA. Shannon Rose Madru NPI is 1871442921. 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:

8421 FOREST PARK ST
CHINO, CA
ZIP 91708-446
Phone: (562) 367-1574

The enumeration date for this NPI number is 1/22/2026 and was last updated on 1/24/2026.

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
1363LF0000XNurse PractitionerFamily95038341CALIFORNIAYes

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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