Individual
ATHERINE DANICE SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN,RN
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER CA 90602, WHITTIER, CA 90602
(562) 698-0811
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95034518
CA
Other
Enumeration date
02/28/2018
Last updated
01/02/2026
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