Individual
KAREN ANNE SHADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 PAULARINO AVE STE D182, COSTA MESA, CA 92626-3302
(888) 336-3649
Mailing address
2835 OSTROM AVE, LONG BEACH, CA 90815-1606
(714) 747-6528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
700810
CA
363L00000X
Nurse Practitioner
Primary
95013316
CA
Other
Enumeration date
07/07/2018
Last updated
08/26/2021
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