# PHILIP STEPHEN SHIREY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1982750253
- **Gender:** Man
- **Credential:** RN NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | RN247365 | CA | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | RN247365 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 12/21/2011