Individual
MRS. SHELBY SPANN HENNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3100 TELEGRAPH AVE STE 350, OAKLAND, CA 94609-3239
(800) 607-6377
Mailing address
3100 TELEGRAPH AVE STE 350, OAKLAND, CA 94609-3239
(800) 607-6377
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95290933
CA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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